Flashcards in Upper Extremity Disorders Deck (40)
What is the primary supinator in the arm?
MOA of a Distal Biceps Injury
How to test for a distal biceps rupture?
Indications to Fix a Distal Biceps Rupture
Laborer: frequent use of screwdriver, doorknobs, handles
Another Name for Tennis Elbow
What muscles are affected with lateral epicondylosis?
What muscles are affected with medial epicondylosis?
Treatment of medial (golf) or lateral (tennis) epicondylosis (elbow)?
Begin stretching program followed by strengthening exercises
What can bursitis be secondary to?
Arthritic conditions: gout, RA, OA
Most Common Locations of Bursitis
Other Locations of Bursitis
What can a constant draining of sinuses lead to?
Treatment of Bursitis
Local corticosteroid injections
I&D (septic) + antibiotics
Radial Nerve Palsy
Saturday night palsy
Get drunk and lie on your arm wrong
What does the radial nerve innervate?
Flexors & ulnar mediatros
4 Sites of Compression of the Ulnar Nerve
Cubital tunnel (elbow)
2 heads of flexor carpal ulnas
Gianes cannel (at the wrists
Tests for Cubital Tunnel Ulnar Nerve Palsy
Bent elbow test
Treatment for a Dislocating Ulnar Nerve
Knee pad worn backwards to keep arm extended
Indications to fix Ulnar Nerve Palsies
What is the most common peripheral neuropathy?
Carpal tunnel/median nerve
Define Tinel's Sign
Tingling or shock-like pain on solar wrist percussion
Define Phalen's Sign
Pain or paresthesia in the distribution of the median nerve when both wrists are flexed to 90 degrees for 60 seconds
Define Carpal Compression Test
Numbness & tingling are induced by direct application of pressure over the carpal tunnel
Treatment of Carpal Tunnel Syndrome
1st: NSAIDs, splints, PPIs
2nd: Cortisone shots
3rd: carpal tunnel release
Indications for Carpal Tunnel Release
Atrophy of thenar muscle(s)
Define Dupuytren's Syndrome
Thickening of the palmar fascia
Superficial to the tendons
Other Locations Dupuytren's can Affect
Penis (Pyrenees disease)
Treatment of Dupuytren's Syndrome
Open palmar fasciectomy
Partial palmar fasciectomy
How does a ganglion cyst occur?
Weakness in the joint wall allowing synovial fluid to escape
1 way valve pushing fluid out of the joint