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98 Cards in this Set
- Front
- Back
what is the common name of the radiocarpal joint
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the wrist
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what separates the ulna from the wrist joint
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articular disk of radioulnar joint
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what are thickened ares of the anterior side of the capsules of hte mcp joints
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volar plates
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an entrapment of the ulnar nerve as it passes under the pisohamate ligament
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guyons tunnel syndrome
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what causes guyons tunnel syndrome
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repetitive motion, or dislocation of pisiform, or ganglion
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what hand injury is common in sports
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rupture of the ulnar collateral ligament of the 1st MCP joint
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what is anothername for when the ulnar collateral ligament of the 1st MCP rupture's
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gamekeepers thumb followed by skier's thumb
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how many heads do the 4 dorsal interossei have
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2
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What movement are the dorsal interossei responsible for
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abduction
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what movements are the palmar interossei responsible for
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adduction
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where is the carpal tunnel
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it is the area between the hook of the hammate and pisiform bone medially. and the tubercles of the scapoid and trapezium laterally
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what is the function of the lumbrical muscles
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flex the MCP joints and extend the IP joints
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what are synovial tendon sheaths
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tubular bursae which surround the long tendons and prevent friction
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what is the function of the fibrous tendon sheaths
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hold the tendons down to the bone and act as a pulley for more efficent flexion
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what are the deep thenar muscles
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adductor pollicis, flexor polics brevis, opponens pollicis
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what are the superficial thenar muscles
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superficial head of flexor pollicis brevis, abductor pollics brevis
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what are the hyperthenar muscles
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opponens digiti minimi, abductor digiti minimi, flexor digiti minimi brevis
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what nerve innervates all of the hypothenar muscles
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the ulnar nerve
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where does the radial nerve give sensory information
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lateral aspecto of dorsum of hand including the thumb, index, middle, and half of ring finger
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what does the palmar branch of teh median nerve do
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gives sensory information to the lateral part of the palm including thumb, index, middle, and half of ring finger. it also supplies the skin over the distal phaalanges on the dorsum of these fingers
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what does the median nerve innervate in the hand
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thenar muscles (except 1/2 of flexor pollicis brevis and adductor pollicis) and the 1st and 2nd lumbricals.
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what does the palmar cutaneous branch of the median nerve innervate
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the skin of the anteriolateral hand
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what does the ulnar nerve innervate in the hand
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muscles of the hypothenar eminence, all the interossei, the 3rd and 4th lumbricals, 1 and 1/2 of the muscles of the thenar eminence, the adductor pollicis, depp head of flexor pollicis brevis
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what is the proper name for a condition which damages the upper trunk of the brachial plexus
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erb-duchenne palsy
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what is the common name for erb's palsy
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waiters tip
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what are the nerves affected by waiters tip
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suprascapular, n. to subclavian, musculocutaneous, and axillary
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what can cause erb's palsy
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motorcycle accident
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what would happen if a person had erb's palsy and theri suprascapular nerve was damaged
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supraspinatus-initiating abduction
infraspinatus-lat. rotation of shoulder |
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what would happen if a person had waiter's tip and their n. to subclavian was damaged
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subclavius-depress clavicle
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what would happen if a person had waiter's tip and their axillary nerve was damamged
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deltoid-abduction
teres minor-lateral rotation |
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what would happen if a person had erb's palsy and their musculocutaneous nerve was damaged
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coracobrachialis-flexion shoulder
brachialis-flexioin elbow biceps brachii-supination elbow |
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what type of sensory loss would a person with waiter's tip have because their musculocutenous nerve is damaged
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lateral forearm
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what kind of sensory loss would a person with erb's palsy have because their axillary nerve was damaged?
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lateral arm over lower deltoid
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what is thoracic outlet syndrome
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compression of structures exitng the superior aperature.
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what structures may be affected by thoracic outlet syndrome
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lower roots and trunk of brachial plexus, subclavian artery
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what are the symtoms of thoracic outlet syndrome
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pain, numbness, tingling, and or weakness in upper limb
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what makes the symptoms of thoracic outlet syndrome worse
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the limb being elevated
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what causes thoracic outlet syndrome
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cervical rib
post-fixed brachial plexus over development of scalene muscles severe kyphosis whiplash repetitve stress in the workplace |
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what is klumpke palsy
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lesion of the lower trunk of the brachial plexus
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what causes klumpke palsy
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stopping a fall by grabbing something
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what nerves are affected by klumpke palsy
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ulnar and median
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what muscles are affected by klumpke palsy
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ulnar-small muscles in hand except thenar muscles and lumbricals 1 and 2
median thenar muscles adductor pollicis and hte deep head of flexor pollicis brevis and lumbricals 1 and 2 |
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what motor loss is caused by klumpke palsy affecting ulnar nerve
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abduction and adduction in all fingers, loss of flexion in little finger, loss of flexion of mp, ext of ip in little and ring fingers, adduction and some flexion in thumb
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what motor loss is caused by klumpke palsy affecting median nerve
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all motor loss in thumb except some flexion and adduction,
flexion of mp and exteion of ip in index and middle fingers |
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what type of sensory loss is caused by klumpke palsy
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medial and lateral palm
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what is the common name for an axillary nerve injury
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saturday night palsy
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what is a common cause of saturday night palsy
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pressure in axilla ( misuse of crutch)
also dislocation of shoulder joint |
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what muscles are affected by satuday night palsy
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the deltoid and the teres minor
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what muscle funciton is lost by sat. night palsy
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deltoid-abduction of shoulder
teres minor-lateral rotation |
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what sensory loss might happen by sat. night palsy
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lateral arm over lower deltoid
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what is the common name of a long thoracic nerve injury
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winged scapula
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what is a common cause of winged scapula
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penetrating wound of neck and complication of radical masectomy
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what muscles are affected by winged scapula
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serratus anterior
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what type of motor loss is expected with a long thoracic nerve injury
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rotation of scapula and the ability to hold the scapula against the body wall
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what is the common name for a radial nerve injury in the axilla
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wrist drop
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what causesa radial nerve injury in the axilla
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presssure in axilla ( misuse of crutch) and fracture of surgical neck of humerus
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what muscles are affected by a radial nerve injury in the axilla
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all extensor muscles
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what function is lost with wrist drop
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exteion of all joints in the upper limb
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what sensory loss is associated with wrist drop
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variable loss in posteriar arm and forearm and on dorsal hand
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what is also the common name for a radial nerve injury in the spinal groove
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wrist drop
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what is the common cause of wrist drop of the spinal groove
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fracture of the shaft of the humerus, resting the arm on a sharp edge such as the back of a chair
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what muscles are affected by a radial nerve injury in the spinal groove
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extensors of the wrist and hand
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what motor loss is expected with a radial nerve injury in the spinal groove
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extenion of joints o f wrist and hand. also weak abduction of thumb
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what sensory loss can be expected by a radial nerve injury of the wrist
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small loss on back of hand
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what causes radial nerve entrapment of the elbow
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the deep branch of the radial nerve runs under the superficial head of the supinator muscles and may become compressed against the radius at this point
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what is the arcade of froshe
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the proximal margin of the supinator forms this fibrous arch which is a place where the radial nerve may become trapped
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what motor loss is caused by radial nerve entrapment of the elbow
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when wrist extension is attempted, there is radial deviation due to loss of extensor carpi ulnaris. there is also weakness of finger and thumb extension and of thumb abduction. there is no sensory loss
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what can cause a median nerve entrapment in the axilla
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rare anomaly of a slip of muscle running between the pec major or coracoid process and the lat. dorsi (langer's muscle) can compress the median nerve
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what is the common name for a median nerve injury of the elbow
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hand of benediction
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what causes "hand of benediction"
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a supracondylar fracture
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what muscles are affected by a median nerve injury at the elbow
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pronators
long flexors thenar muscles 1 and 2 lumbricals |
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wht motor loss is affected by median nerve injury at the elbow
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pronators-pronation
long flexors-most flexion thenar muscles-flexion, abduction, and opposition 1 and 2 lumbricals-flexion of mcp joints of index and middle fingers |
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what sensory loss can occur with "hand of benediction"
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sensory loss of the lateral palm
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what is pronator syndrome
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a catch all term for compression of median nerve in hte region of hte elbow
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what are the common sites of compression in pronator syndrome
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supracondylar process and ligament of struthers
bicipital aponerosis pronator teres sublimis bridge |
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what will a patient experience during pronator syndrome
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aching pain in the anterior distal arm and proximal forearm. pain becomes more intense with foreceful pronation or repetitive pronation/supination
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what is the ligament of struthers
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a common anomaly of humerus is a supracondylar process is attaced to the medial epicondyle by a fibrous link
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what muscles can be affected by ligament of struthers
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pronator terses
flexor carpi radialis palmaris longus flexor digitorum superifcialis lateral 1/2 of flexor digitorum profundus |
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pronator teres median nerve entrapment
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humeral head of pronator teres begins at the common tendon on medial epicondyle and ulnar head from the coronoid process of ulna. the median nerve passes between these two heads and if there is a fibrous band linking hte two heads the nerve can be compressed
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what is a common name for a median nerve injury at the wrist
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ape hand
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what is the common cause of ape hand
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penetrating wounds of the wrist
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what muscles are affected by ape hand
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thenar muscles and 1 and 2 lumbricals
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what type of motor loss is associated with ape hand
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thenar-flex, abd, and opposition
lumbricals-flex of MCP joint of middle and ring fingers |
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what type of sensory loss is associated with a median nerve injury at the wrist
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lateral palm
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what is a common name for a median nerve injury at the carpal tunnel
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carpal tunnel syndrome
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what causes carpal tunnel
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repetitive motion
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whta muscles are affected by carpal tunnel
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thenar muscles
1 and 2 lumbricals |
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what motor loss will occur due to carpal tunnel syndrome
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thenar-flex, abd, oppositon
lumbricals-flex of MCP joints of middle and index finger |
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what is the common name of an ulnar nerve injury at the elbow
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claw hand
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what is a common cause of claw hand
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fracture of the medial epicondyle and direct trauma
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what muscles are affected by claw hand
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flexor capri ulnaris, 1/2 of flexor digitorum profundus, all small muscles of hand except thenar muscles and 1 and 2 lumbricals
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what type of motor loss is expected with a ulnar injury at the elbow
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reduced flexion of terminal phalanges of ring and little fingers
flexion of wrist will result in abduction also inablity to adduct and abdct fingers, inablility to adduct thumb |
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what is cubital tunnel syndrome
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entrapment of the ulnar nerve as it passes through the tunnel formed by the tendinous arch
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what are the symptoms of cubital tunnel syndrome
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the same as that of damage to the nerve in the ulnar groove
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what causes an ulnar nerve injury at the wrist
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penetrating wounds of the wrist
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what muscles are affected by an ulnar nerve injury of the wrist
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all small muscles of hand except for some thenar muscles and the 1 and 2 lumbricals
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what motor loss is caused by ulnar nerve injury of wrist
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inability to abduct and adduct fingers
inability adduct thumb |
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what type of sensory loss is associated with a ulnar nerve injury at the wrist
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medial palm
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