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Flashcards in Upper Extremity Disorders Deck (40)
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1

What is the primary supinator in the arm?

Biceps

2

MOA of a Distal Biceps Injury

Eccentric contraction
Steroid users

3

How to test for a distal biceps rupture?

Hook test

4

Indications to Fix a Distal Biceps Rupture

Laborer: frequent use of screwdriver, doorknobs, handles
Popeye's deformity
Cosmetic

5

Another Name for Tennis Elbow

Lateral Epicondylosis

6

What muscles are affected with lateral epicondylosis?

Forearm extensors

7

What muscles are affected with medial epicondylosis?

Forearm flexors
Pronator

8

Treatment of medial (golf) or lateral (tennis) epicondylosis (elbow)?

Patient education
Ice
NSAIDs
Begin stretching program followed by strengthening exercises

9

What can bursitis be secondary to?

Trauma
Infection
Arthritic conditions: gout, RA, OA

10

Most Common Locations of Bursitis

Olecranon
Pre-patellar

11

Other Locations of Bursitis

Sub-deltoid
Ischial
Trochanteric
Baker cyst

12

What can a constant draining of sinuses lead to?

SCC

13

Treatment of Bursitis

Heat
Rest
NSAIDs
Local corticosteroid injections
I&D (septic) + antibiotics

14

Radial Nerve Palsy

Saturday night palsy
Get drunk and lie on your arm wrong

15

What does the radial nerve innervate?

Flexors & ulnar mediatros

16

4 Sites of Compression of the Ulnar Nerve

Cubital tunnel (elbow)
IM septum
2 heads of flexor carpal ulnas
Gianes cannel (at the wrists

17

Tests for Cubital Tunnel Ulnar Nerve Palsy

Tinnel's
Bent elbow test

18

Treatment for a Dislocating Ulnar Nerve

Dish towel
Knee pad worn backwards to keep arm extended

19

Indications to fix Ulnar Nerve Palsies

Persistent numbness
Instability
Muscle atrophy

20

What is the most common peripheral neuropathy?

Carpal tunnel/median nerve

21

Define Tinel's Sign

Tingling or shock-like pain on solar wrist percussion

22

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

23

Define Carpal Compression Test

Numbness & tingling are induced by direct application of pressure over the carpal tunnel

24

Treatment of Carpal Tunnel Syndrome

1st: NSAIDs, splints, PPIs
2nd: Cortisone shots
3rd: carpal tunnel release

25

Indications for Carpal Tunnel Release

Atrophy of thenar muscle(s)
Chronic numbness

26

Define Dupuytren's Syndrome

Thickening of the palmar fascia
Superficial to the tendons

27

Other Locations Dupuytren's can Affect

Feet (Lederhosen's)
Penis (Pyrenees disease)

28

Treatment of Dupuytren's Syndrome

Needle apeuronotomy
Open palmar fasciectomy
Partial palmar fasciectomy
Collagenase injections

29

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

30

Differential Diagnosis of a Ganglionic Cyst

Ganglion
Lipoma
Schwanoma
AV malformation