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21 Cards in this Set

  • Front
  • Back

antecubital fossa

Triangular cavity at elbow


-biceps tendon


-median nerve


-brachial artery

biceps action

-flex shoulder


-flex elbow


-supination of forearm

brachioradialis


-nerve


-nerve root


-where to strike for reflex


-reflex response

-radial nerve


-C5/C6 (reflex mostly tests C6)


-strike radius 1-2 inches superior to wrist


-elbow flex & forearm supination

antecubital fossa contains

-biceps tendon


-median nerve


-brachial artery

biceps brachii inserts

-radial tuberosity

colles fx

fx of distal end of radius

ext carpi radialis brevis


-O


-I


-Action

-O: common ext tendon from lateral epicondyle to humerus, radial collateral lig of elbow, deep antebrachial fascia


-I: dorsal surface of base of 3rd metacarpal


-A: ext & abd wrist

biceps brachii damage


-signs

-overuse injury


-not usually from FOOSH


-not likely to lead to excessive carrying angle

annular lig

-wraps around head of radius


-secures radius to ulna


-lateral on elbow

ulnar collateral lig. damage


-signs

(medial lig at elbow)


-edema on medial elbow


-excessive carrying angle

radial collateral lig

-restricts varus force in the elbow


-located laterally

carrying angle of elbow

-describes the angle formed in the frontal plane btwn the humerus & ulna


-normal: (5-10 degree male) (10-15 degree female)


-cubital valgus: angle is greater than normal

supinator

-only action is supination


-bicep also supinates


-to eliminate bicep influence flex the elbow & shoulder to place bicep in a shortened position)


-when bicep shortened it's unable to produce same amt of force & can't compensate for weak supinator

characteristic pattern of contracture deformity at elbow

-flexion & PRONATION


-need to position splint in ext & supination

biceps tendon rupture


-most anticipated finding with resistance testing?

-weak & pain free

-pain at C6, can't extend C spine


-position for positional release to open affected foramen?

-forward flexed


-contralateral sidebend


-contralateral rot


(this position allows contraction of post fibers of upper trap

olecranon bursitis


-sign

-post elbow swelling

-ulnar collateral lig damage


-signs

-tenderness over lateral condyle

pt diagnosed with lateral epicondylitis has no resolution of sx's after 2 weeks of tx, L biceps reflex is 1+


-next step?

-complete exam of mid cervical region


-diminished reflex is a possible C5 nn root compression in mid cervical spine


-reflex change indicates nn root irritation or compression


-lateral epicondylitis frequwntly involves ext carpi radialis (which is innervated by nerves in the mid cervical region)

biceps tendon


-how to test reflex

-reflex C5-C6


place thumb on tendon & tap

radial tuberosity

-distal to neck of radius


-biceps brachii inserts on it