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Elbow, forearm, wrist

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sandyle909's version from 2016-09-10 21:54

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Question Answer
Epicondylitis overuse syndrome
localized pain and swelling
reproducible pain with wrist flexion (medial) or extension (lateral) against resistance
Golfer's Elbowmedial epicondyl - flexor pronator muscle group
Tennis Elbowlateral epicondyl - extensor supinator muscle group
Olecranon Bursitis inflammation of the bursa with fluid accumulation
Pain suggests - trauma or infection
Nursemaid's Elbowpediatric ages 1-4 years old
subluxation/ dislocation of radial head
Sudden pull of pronated arm
Child guards extremity and limits ROM
signs: holds elbow slightly flexed, forearm pronated
Subcutaneous NodulesGouty tophi
Rheumatoid Arthritis - rheumatoid nodules
Colle's Fracturefracture of distal radius
falls, and puts arm out
Allen's Testcheck patency of ulnar nerve prior to arterial puncture
1. make a fist
2. occlude radial and ulnar arteries
3. release pressure over ulnar artery
*palm should flush within 3-5 seconds
Carpal Tunnel Syndrome Median nerve and flexor tendons pass through tunnel
Median nerve becomes compressed by inflammation of synovium
s/s: neuropathy with pain, paresthesia, and thenar atrophy
Tinel's Sign percuss over the median nerve
(+) tingling sensation in the distribution of the median nerve
Phalen's TestFlex wrist x 30-60 seconds
(+) paresthesia in the distribution of the median nerve
de Quervain's TenosynovitisInflammation of the 1st dorsal compartment involving the sheath of the abductor pollicis longus and extensor pollicis brevis
Cause: overuse/ repetitive gripping
Finkelstein Test - fist over thumb, and ulnar deviation
(+) Pain
Ganglion Cystscollection of synovial fluid within a join or tendon sheath
herniation of synovial tissue from capsule or tendon sheath
Inspect: dorsal radial, volar aspect of wrist
Palpate: soft mobile mass
ROM: may restrict motion, painful with repetitive activity
Special Wrist Fracturestender to palpation "anatomical snuffbox"
lateral border - extensor pollicis brevis, abductor pollicis longus
medial border - extensor pollicis longus
memorize