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200 Cards in this Set

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A flexion contracture of the involved digits and decreased amount of flexion force in the adjacent digits
Quadrigia Phenomemon
Can occur if FDP is advanced more than 1 cm during repair
What's in the Guyon's Canal?
Ulnar artery
Ulnar Nerve
What are the borders of Guyon's canal?
Hook of hamate, pisiform
What sturcutres form the "snuffbox"?
scaphoid at the base
APL & EPB define radial border
EPL ulnar border
What structures are in the carpal tunnel?
Ten structures: 4 FDP, 4 FDS, Median nerve, FPL
What are the borders of the carpal tunnel?
Pisiform, Scaphoid tubercle, hook of Hamate, Trapezium
Is palmaris longus in the carpal tunnel?
NO, lies superficial
What is Linburg's sign?
Anatomic interconnection of FPL and FDP of index finger. Present in 31% of populuation
What are signs of Linburg's syndrome?
Interconnection leads to pain. Discomfort located over radialpalmer aspect of distal forearm and thumb
Linberg's syndrome is often present with what condition?
Carpal Tunnel syndrome
Check Rein ligaments cause what?
PIP Joint contractures
How do you assess for Linberg's sign?
Have patient actively flex the thumb IP joint. Look for involuntar motion at the index finger DIP
Swallowtails that become hypertrophied and shortened
Check rein ligaments. Swallowtails are extensions of the volar plate
1st DC
APL
EPB
2nd DC
ECRB
ECRL
What is the strongest wrist extensor?
ECRB: strongest and most efficient
Wrist extensor that is best for endurance?
ECRL:
Which wrist extensor is more efficient with arm supinated?
ECU
Lateral epi usually involves withs muscle?
ECRB
Which pulley is most affected in trigger finger?
A1 pulley
Transvers carpal ligament attaches to ......?
Scaphoid, Trapezium, pisiform, Hook of hamate
Pain, parasthesia, paralysis, pulselessness are symptoms of ?
Acute Compartment syndrome
Martin-Gruber anastomosis is present in .......% population?
15-20%
Anastomosis between median and ulnar nerve at forearm?
Martin-Gruber
Main stabilizer of the elbow
Medial (ulnar) collateral ligament (UCL)
Does damage to the elbow UCL require surgery?
Yes, usually does
Most important pulleys of the flexor tendons?
A2 & A4
Odd numbers of pulleys correlate with?
Finger joints:
MP=A1
PIP=A3
DIP=A5
Psychological condition that results in self infliction of harm to prolong illness
Secretan's Syndrome (Wallbangers's Disease)
Major arterial supply to the forearm and hand
Brachial Artery: It dives below the lacterus fibrosis and splits into radial and ulnar artery
Graysons ligaments runs ...... to the flexor sheath
volar
Cleland's ligament run ..... to the neurovascular bundle
Dorsal
Prevents rotary movement of skin around the fingers
Grayson's and Cleland's ligaments
Main artery to the supply the hand
Ulnar
Supplies 60%
Artery that supplies superfical palmer arch
Ulnar
Artery that supplies deep Palmer arch to hand
Radial Artery
Innervation of Adductor pollicis
Deep branch of ulnar nerve
Innervation of Brachioradialis
Radial Nerve
Innervation of EIP
Posterior Interosseous Nerve
Innervation of Palmaris Brevis
Superfical branch of Ulnar nerve
Innervation of of Abductor Pollicis Brevis
Median Nerve
Innervation of Pronator Quadratus
Anterior Interosseous nerve
Fingernails grow are rate per month?
2-3 mm per month
During normal flexing into a fist, the digits converge and point to what structure?
Scaphoid
What structures gives the glenoid a deeper cavity?
Labrum: fibrocartilaginous rim that is attached around the margin of the glenoid process
Which pole of the scaphoid has a good blood supply?
Distal pole has a rich blood supply and heal quickly.
Proximal pole has poor vascularity and can result is avascular necrosis or non union
What artery supplies the scaphoid through ligamentous attachements?
Radial Artery
Which muscles line the medial and lateral borders of the cubital fossa?
Brachioradialis: Lateral
Pronator Teres: Medial
Borders of the Quadrangular space
Teres minor superiorly
Teres Major Inferiorly
Humerus Laterally
Tricpes Medially
Which nerve and artery pass through the Quadrangular space?
Axillary Nerve
Postierior circumflex artery
What artery passes over the floor of the "snuffbox"?
Radial Artery
Which three veins make the M shape?
Cephalic vein: Lateral (radial)
Basilic Vein: Medial (ulnar)
to form the Median Cubital Vein at the elbow
Adventitious sound heard on auscultation and of venous or arterial origin
Bruit
Abnormal tremor that accompanies a vascular or cardiac murmur felt on palpation
Thrill
Localized abnormal dilation of a blood vessel, usually an artery
Aneurysm
Benign tumor of dilated blood vessels
Hemangioma
Sensitive noninvasive technique for determining blood flow
Doppler Echocardiography
What is Space of Poirier?
Weakness from the absence of the volar lunocapitate ligament
Primary source of blood supply to the thumb
Deep branch of Radial Artery
Signs of Arterial insufficiency
Pallor (lack of color)
Decreased Temp
Increased pain
Slow caplillary refill
Loss of pulse
Signs of Venous insufficiency
Cyanosis (bluish discoloration)
Abnormal Capillary refill
What position is beneficial for venous stasis?
Slight elevation
What position is helpful for arterial system managment?
Slight lowering below heart level or at heart level.
Excessive elevation above heart level can stress the arterial system
What is lacertus fibrosus?
Another name for bicipital aponeurosis
Fibrous band that originates from tendon of biceps brachii
Lacertus fibrosus is tightened in what forearm position?
Pronation
Forearm pronation with elbow flexion may contribute to compression of what nerve?
Median nerve at the lacertus fibrosus
Injury to the joint with ligamentous damage
Sprain
Injury to the muscle or musculotendinous unit
Strain
A fibrous membrane that covers, supports, and separates muscles
Fascia
Type of tissue composed of contractile fibers
Muscle
Dry, pink patches of skin that are itchy and burn
Erythematous
Muscles that originate from common flexor origin of medial epi?
Pronator teres, FCR, FDS, Palmaris Longus, FCU
Does Pronator quadratus originate from the distal ulna
Yes
What two veins form the Axillary Vein?
Basilic vein joins the Brachial Vein at the lower border of teres major
What is the Axillary Vein call at the first rib?
Subclavian Vein
Most important thumb pulley?
Oblique pulley
IP Joint motion will decrease if damaged
Brachioradialis, ECRB and EDC are all innervated by what nerve?
PIN (Posterior Interosseous nerve)
What tendon takes a 45 degree angle Lister's Tubercle?
EPL
It may rupture after DRF or with RA
Lister's Tubercle is located on what bone?
Distal Radius
What ligament can be palpated approx 1 cm directly distal to Lister's tubercle?
SL ligament
What structure articulates with the radial head?
Capitulum
What muscles make the Wad of Henry?
Brachioradialis, ECRB, ECRL
Can assess when forearm and wrist in neutral
Is the supinator in the moble wad of Henry?
No
Another name for the coronal plane
Frontal Plane
Which plane divides the body into superior and inferior
Transverse plane
Which plane divides the body into right and left parts?
Sagittal plane
Which plane divides the bod into front and back portions?
Frontal Plane
Another term for Landsmeer's Ligament?
Oblique retinacular ligament
ORL is taught in DIP flex or ext?
Flexion
What forms fingerprints?
Papillary ridges
White convex at the base of the nail
Lunula
What is the structure under the nailbed?
Hyponychium
Embryonic structure from which the nail develops?
Eponychium
Acute or chronic infection around the nail is called what?
Paronychia
Allen's test is considered abnormal when latency is slower than what?
7 seconds
Vascular disease that is pain with exertion that is alleviated by rest
Obstructive arterial problem
Vascular disease that presents with mild paresthesias and marked pallor
Vasospasm
Vascular disease that presents with severe pain with sudden onset
Sudden Arterial Occulusion
Vascular disease that present with pain at rest
Severe arterial insuffieciency
Palmaris longus is absent in what percent of the population
13-20%
A flexion contracture of the involved digits and decreased amount of flexion force in the adjacent digits
Quadrigia Phenomemon
Can occur if FDP is advanced more than 1 cm during repair
What's in the Guyon's Canal?
Ulnar artery
Ulnar Nerve
What are the borders of Guyon's canal?
Hook of hamate, pisiform
What sturcutres form the "snuffbox"?
scaphoid at the base
APL & EPB define radial border
EPL ulnar border
What structures are in the carpal tunnel?
Ten structures: 4 FDP, 4 FDS, Median nerve, FPL
What are the borders of the carpal tunnel?
Pisiform, Scaphoid tubercle, hook of Hamate, Trapezium
Is palmaris longus in the carpal tunnel?
NO, lies superficial
What is Linburg's sign?
Anatomic interconnection of FPL and FDP of index finger. Present in 31% of populuation
What are signs of Linburg's syndrome?
Interconnection leads to pain. Discomfort located over radialpalmer aspect of distal forearm and thumb
Linberg's syndrome is often present with what condition?
Carpal Tunnel syndrome
Check Rein ligaments cause what?
PIP Joint contractures
How do you assess for Linberg's sign?
Have patient actively flex the thumb IP joint. Look for involuntar motion at the index finger DIP
Swallowtails that become hypertrophied and shortened
Check rein ligaments. Swallowtails are extensions of the volar plate
1st DC
APL
EPB
2nd DC
ECRB
ECRL
What is the strongest wrist extensor?
ECRB: strongest and most efficient
Wrist extensor that is best for endurance?
ECRL:
Which wrist extensor is more efficient with arm supinated?
ECU
Lateral epi usually involves withs muscle?
ECRB
Which pulley is most affected in trigger finger?
A1 pulley
Transvers carpal ligament attaches to ......?
Scaphoid, Trapezium, pisiform, Hook of hamate
Pain, parasthesia, paralysis, pulselessness are symptoms of ?
Acute Compartment syndrome
Martin-Gruber anastomosis is present in .......% population?
15-20%
Anastomosis between median and ulnar nerve at forearm?
Martin-Gruber
Main stabilizer of the elbow
Medial (ulnar) collateral ligament (UCL)
Does damage to the elbow UCL require surgery?
Yes, usually does
Most important pulleys of the flexor tendons?
A2 & A4
Odd numbers of pulleys correlate with?
Finger joints:
MP=A1
PIP=A3
DIP=A5
Psychological condition that results in self infliction of harm to prolong illness
Secretan's Syndrome (Wallbangers's Disease)
Major arterial supply to the forearm and hand
Brachial Artery: It dives below the lacterus fibrosis and splits into radial and ulnar artery
Graysons ligaments runs ...... to the flexor sheath
volar
Cleland's ligament run ..... to the neurovascular bundle
Dorsal
Prevents rotary movement of skin around the fingers
Grayson's and Cleland's ligaments
Main artery to the supply the hand
Ulnar
Supplies 60%
Artery that supplies superfical palmer arch
Ulnar
Artery that supplies deep Palmer arch to hand
Radial Artery
Innervation of Adductor pollicis
Deep branch of ulnar nerve
Innervation of Brachioradialis
Radial Nerve
Innervation of EIP
Posterior Interosseous Nerve
Innervation of Palmaris Brevis
Superfical branch of Ulnar nerve
Innervation of of Abductor Pollicis Brevis
Median Nerve
Innervation of Pronator Quadratus
Anterior Interosseous nerve
Fingernails grow are rate per month?
2-3 mm per month
During normal flexing into a fist, the digits converge and point to what structure?
Scaphoid
What structures gives the glenoid a deeper cavity?
Labrum: fibrocartilaginous rim that is attached around the margin of the glenoid process
Which pole of the scaphoid has a good blood supply?
Distal pole has a rich blood supply and heal quickly.
Proximal pole has poor vascularity and can result is avascular necrosis or non union
What artery supplies the scaphoid through ligamentous attachements?
Radial Artery
Which muscles line the medial and lateral borders of the cubital fossa?
Brachioradialis: Lateral
Pronator Teres: Medial
Borders of the Quadrangular space
Teres minor superiorly
Teres Major Inferiorly
Humerus Laterally
Tricpes Medially
Which nerve and artery pass through the Quadrangular space?
Axillary Nerve
Postierior circumflex artery
What artery passes over the floor of the "snuffbox"?
Radial Artery
Which three veins make the M shape?
Cephalic vein: Lateral (radial)
Basilic Vein: Medial (ulnar)
to form the Median Cubital Vein at the elbow
Adventitious sound heard on auscultation and of venous or arterial origin
Bruit
Abnormal tremor that accompanies a vascular or cardiac murmur felt on palpation
Thrill
Localized abnormal dilation of a blood vessel, usually an artery
Aneurysm
Benign tumor of dilated blood vessels
Hemangioma
Sensitive noninvasive technique for determining blood flow
Doppler Echocardiography
What is Space of Poirier?
Weakness from the absence of the volar lunocapitate ligament
Primary source of blood supply to the thumb
Deep branch of Radial Artery
Signs of Arterial insufficiency
Pallor (lack of color)
Decreased Temp
Increased pain
Slow caplillary refill
Loss of pulse
Signs of Venous insufficiency
Cyanosis (bluish discoloration)
Abnormal Capillary refill
What position is beneficial for venous stasis?
Slight elevation
What position is helpful for arterial system managment?
Slight lowering below heart level or at heart level.
Excessive elevation above heart level can stress the arterial system
What is lacertus fibrosus?
Another name for bicipital aponeurosis
Fibrous band that originates from tendon of biceps brachii
Lacertus fibrosus is tightened in what forearm position?
Pronation
Forearm pronation with elbow flexion may contribute to compression of what nerve?
Median nerve at the lacertus fibrosus
Injury to the joint with ligamentous damage
Sprain
Injury to the muscle or musculotendinous unit
Strain
A fibrous membrane that covers, supports, and separates muscles
Fascia
Type of tissue composed of contractile fibers
Muscle
Dry, pink patches of skin that are itchy and burn
Erythematous
Muscles that originate from common flexor origin of medial epi?
Pronator teres, FCR, FDS, Palmaris Longus, FCU
Does Pronator quadratus originate from the distal ulna
Yes
What two veins form the Axillary Vein?
Basilic vein joins the Brachial Vein at the lower border of teres major
What is the Axillary Vein call at the first rib?
Subclavian Vein
Most important thumb pulley?
Oblique pulley
IP Joint motion will decrease if damaged
Brachioradialis, ECRB and EDC are all innervated by what nerve?
PIN (Posterior Interosseous nerve)
What tendon takes a 45 degree angle Lister's Tubercle?
EPL
It may rupture after DRF or with RA
Lister's Tubercle is located on what bone?
Distal Radius
What ligament can be palpated approx 1 cm directly distal to Lister's tubercle?
SL ligament
What structure articulates with the radial head?
Capitulum
What muscles make the Wad of Henry?
Brachioradialis, ECRB, ECRL
Can assess when forearm and wrist in neutral
Is the supinator in the moble wad of Henry?
No
Another name for the coronal plane
Frontal Plane
Which plane divides the body into superior and inferior
Transverse plane
Which plane divides the body into right and left parts?
Sagittal plane
Which plane divides the bod into front and back portions?
Frontal Plane
Another term for Landsmeer's Ligament?
Oblique retinacular ligament
ORL is taught in DIP flex or ext?
Flexion
What forms fingerprints?
Papillary ridges
White convex at the base of the nail
Lunula
What is the structure under the nailbed?
Hyponychium
Embryonic structure from which the nail develops?
Eponychium
Acute or chronic infection around the nail is called what?
Paronychia
Allen's test is considered abnormal when latency is slower than what?
7 seconds
Vascular disease that is pain with exertion that is alleviated by rest
Obstructive arterial problem
Vascular disease that presents with mild paresthesias and marked pallor
Vasospasm
Vascular disease that presents with severe pain with sudden onset
Sudden Arterial Occulusion
Vascular disease that present with pain at rest
Severe arterial insuffieciency
Palmaris longus is absent in what percent of the population
13-20%