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50 Cards in this Set
- Front
- Back
What is suggested treatment for an uncomplicated case of Golfer's elbow (medial epicondylitis)?
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Stretch and strengthen the wrist flexors.
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T or F: Tennis elbow is described as a strain to the common insertion of the wrist extensors.
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TRUE
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T or F: a special test used to confirm the diagnosis of golfer's elbow is reproduction of pain with resisted wrist flexion.
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TRUE
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What orthotic devices are commonly perscribed for Tennis Elbow?
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Wrist cock-up (MaxPP) and Counterforce brace (MinPP)
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True or False: resistance exercises can be initiated with both medial and lateral epicondylitis problems when patients can exhibit painfree AROM.
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True
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What kind of movement would cause injury to the MCL?
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Hyper-valgus
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Why is Deep transverse friction massage (DTFM) advocated for med and lat epicondylitis.
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DFTM has been shown to stimulate phagocytosis, it stimulates fiber orientation in regenerating connective tissue and prevents adhesion formation and ruptures unwanted adhesions
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True or False: eccentric strengthening plays an important role in the MinPP of Tennis elbow.
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True, see page 423 in Shankman
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A PT wants to perform a joint mobilization technique to gain elbow flexion in an OKC. What direction should the radius be mobilized?
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Anterior
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What are the goals associated with the MaxPP of both Med and Lat Epicondylitis treated non-operatively.
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Decrease pain, edema and spasms, develop soft tissue and joint mobility, and maintain UE function
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What are the goals associated with the Controlled Motion/Return to Function phase of both Med and Lat Epicondylitis treated non-operatively.
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Increase muscle flexibility and scar mobility, restore joint tracking of the RU jt, improve muscle performance and function and patient education
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True or False: A varus deformity at the elbow is called a gunstock deformity.
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TRUE
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A posterior interosseous nerve entrapment syndrome can mimic tennis elbow. How can differentiate the two problems?
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Tenderness will be distal to the Lat epicondyle and there may be weakness in the thumb extensors
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True or False: a PIN compression does not have sensory loss as a symptom.
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True, only motor function is compromised
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True or False: Posterior interosseous nerve entrapment syndrome is classified as a neuropraxia.
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False, Axomotmesis (Colby and Kisner) See chapter on Peripheral Nerve Injuries
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What complication is associated with supracondylar fractures of the humerus?
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Volkmann's ischemic contracture.
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What is the MOST common complication after elbow dislocation?
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Loss of extension
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What kind of elbow dislocation is most common?
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Posterior
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DeQuervain's Tenosynovitis involves the tendons of what muscles?
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APL and EPB
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What nerve is compressed with carpal tunnel syndrome (CTS)?
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Median
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Name the intrinstic muscles that maybe involved with CTS?
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Opponens pollicis, APB, FPB (superficial head) and lumbericals I and II
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What ligament forms the roof of the carpal tunnel?
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Transverse carpal ligament
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What is the third exercise in the median nerve glide mobilization sequence?
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Wrist and fingers extended and thumb in neutral.
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True or False: The last exercise in median nerve glide mobilization requires that the thumb be stretched into flexion.
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Flase, extension
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Tendon gliding exercises are recommended for CTS. Describe the sequence of movements.
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Straight hand, hook fist, full fist, table top and straight fist.
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According to Shankman, when should resistance exercises be added to a CTS program?
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4-5 weeks after onset
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True or False: Colles fractures involve fracture to the distal radius.
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True
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According to Shankman, when should resistance exercises be added to a Colles fracture program?
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When secure bone union has ocurred which is reported to take 5-8 weeks
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What special tests are used to assess CTS?
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Tinel's and Phalen's
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What special test is used to confirm deQuervian’s syndrome?
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Finkelstein’s Test
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What special test is used to check the vascularity of radial and ulnar arteries?
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Allen test
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What is the recovery time for Colles' fractures?
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Up to one year
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Where would you palpate if you suspected a Scaphoid fracture?
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Anatomical snuffbox
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True or False: A common complication associated with scaphoid fractures is nonunion.
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True
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True or False: Skier's thumb involves injury to the radial collateral ligament of the thumb.
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False, ulnar
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What kind of exercises are contraindicated after the first week of reduction of a posterior elbow dislocation and why?
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Passive stretching because it my cause myositis ossificans
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True or False: stretching to the elbow is contraindicated with tramatic injuries to the brachialis muscle.
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True, ossification of the injured tissue is a potential complication
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What movements are commonly affected after radial head injuries?
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Pronation and supination
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What is the capsular patten for the wrist?
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Flexion and extension loss are equal
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True or False: regaining full elbow ROM after a radial head fracture is a realistic post-surgical goal.
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False, heterotopic bone formation is often a complication of elbow fractures, dislocations and elbow joint surgery.
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What is the capsular patten for the elbow?
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Flexion loss is greater than extension loss.
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What is the usual length of immobilization associated with surgical treatment of Carpal Tunnel Syndrome?
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2-14 days
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What are the two criteria used to progress a patient who is S/P radial head excision from the MaxPP to the ModPP?
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Satisfactory wound healing and painfree Active movements of the elbow
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Name the ROM precautions after a total elbow replacement.
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1. Perform ROM only w/in the arc of motion acheived during surgery
2. If symptoms of ulnar nerve compression are noted, avoid prolonged positioning or stretching into end-range flexion |
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Name the strengthening precautions after a total elbow replacement.
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Weight training using moderate and high loads is not appropriate afer a total elbow replacement.
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Name the Functional activities precautions after a total elbow replacement.
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1. Avoid moving or carrying objects with the operated extremity for 6 weeks.
2. Limit repetitive lifting to 1# for the first 3 months, 2# for the first 6 months, and no more than 5# thereafter. NEVER LIFT MORE THAN 10 TO 15# IN A SINGLE LIFT. 3. Do not participate in recreational activiites, like golf or tennis, that place hogh loads or impact across the elbow |
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A PT decides to use Iontophoresis on a patient with Tennis elbow. What medication is commonly used to decrease inflammation?
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Dexamethasone
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If a PT wanted to gain elbow extension in an OKC, what direction would would he/she mobilize the radius?
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Posteriorly, since the radius is the concave surface, the roll and glide are in the same direction as the motion.
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What position should the PTA place the shoulder, forearm and elbow to maximally stretch the biceps.
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Shoulder extension, forearm pronation and elbow extension.
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A PTA is asked to stretch the long head of the triceps on a patient with a healed radial fracture. What is the perferred postion to perform this exercise?
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Sitting, see Colby figure 3-8
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