Weekend 6 - Arm And Wrist

Front 1

What is the pinch grip test?

Back 1

Anterior interosseous nerve syndrome

Client pinches thumb and index finger together

Positive - Client hyperextends DIP joint

Front 2

What tendons attach to the common flexor tendon?

Back 2

Flexor Muscles.

Pronator Teres, flexor carpi radialis, Palmaris longus, flexor digitorum, superficialis, flexor carpi ulnaris

Front 3

What muscles attach to the common extensor tendon?

Back 3

Extensor muscles.

Extensor carpi radialis brevis, ectensor digitorum, extensor digiti minini , extensor carpi ulnaris

Front 4

What action occurs at the humeral ulnar and humeral radial joint?

what action occurs at the proximal and distal radioulnar joints

Back 4

Flexion and extension

Pronation and supination

Front 5

What is another name for hypermobility?

Back 5

Joint laxity, double jointedness, loose joint

Front 6

What ligament provides support for the sides of the elbow joint?

Back 6

Radial or lateral collateral ligament

Front 7

What ligament connect the humerus to the ulna and keep it tightly in place as it slides through the olecranon?

Back 7

Ulnar or medial collateral ligament

Front 8

The medial or lateral collateral ligament is likely to be torn with injury or dislocation at the elbow?

Back 8

Medial Collateral ligament

Front 9

What ligament holds proximal radioulnar joint together?

Back 9

The annular ligament

Front 10

What artery supplies the hand

Back 10

Brachial artery

Front 11

What is the "carrying angle"?

Back 11

The angle formed by the long axis of the humerus and the long axis of the ulna and is most evident when the elbow is straight and fully supinated.

Men - 10-15

Women 5-10

Front 12

What is cubital Valgus

Back 12

Carrying angle is greater then 15 degrees.

Distal ulna goes laterally

Front 13

What is cubital varus

Back 13

Carrying angle is less then 5-10 degrees.

Distal ulna goes medially

Front 14

What makes up the carpal tunnel?

Where is it located on the wrist?

(Anterior, posterior, medial lateral?)

Back 14

carpal bones and flexor retinaculum (Transverse carpal ligament)

Anterior wrist

Front 15

What makes up the tunnel of Guyon (Guyons canal) What passes through it? where is it located on the wrist? (anterior, posterior, lateral, medial)

Back 15

Created by a divison of the flexor retinaculum

Ulnar nerve and artery,

Medial wrist

Front 16

What makes up the anatomical snuff box?

Where is it located on the wrist?

(anterior, posterior, lateral, medial)

Back 16

Made up of the synovial sheath shared by the abductor pollicis longus, extensor pollicis brevis, styloid process of the radius.

lateral wrist

Front 17

What are the wrist bones proximal to distal?

lateral to medial

Back 17

Row 1 Row 2

Some - Scaphoid That - Trapezium

Lovers - Lunate They - Trapezoid

Try - Triquetrum Cant - Capitate

Positions - Pisiform Handle - Hamate

Proximal to distal - Lateral to medial

Front 18

Brachialis

o

i

a

Back 18

O: Distal 1/2 of the anterior shaft of the humerus

I: Tuberosity and Coronoid process of the ulna

A: Flexes the forearm at the elbow

Front 19

Coracobracialis

O

I

A

Back 19

O: Coracoid process of the scapula

I: medial 1/3 of the medial shaft of the humerus

A: Flexes , adducts and horizontally flexes the arm at the GH joint

Front 20

Pronator Teres

O

I

A

Back 20

O: medial epicondyle of the humerus via the common flexor tendon, Medial supracondylar ridge of the humerus and cornoid process of the ulna

I: Middle 1/3 of the lateral radius

A: Pronates the forearm at the radioulnar joint

flexes the forearm at the elbow

Front 21

Extensor Capri Radialis Longus

(ECRL)

O

I

A

Back 21

O:Distal 1/3 of the lateral supracondylar ridge of the humerus

I: Radial side of the posterior hand at the base of the second metacarpals

A: Extends hand at the wrist

Flexes forearm at the elbow

Radial Deviates (abducts) hand at wrist

Front 22

Extensor Carpi Radialis Brevis

(ECRB)

O
I
A

Back 22

O: Lateral epicondyle of the humerus

I: Proximal 1/3 of the radius

A: Supinates the forearm at the radioulnar joints

Front 23

Abductor Pollicis Longus

O

I
A

Back 23

O: Middle 1/3 of the posterior radius interosseus membrane, Ulna

I: base of the metacarpal of the thumb

A: Abduct the thumb at the carpo meta carpal joint

radially deviates the hand at the wrist joint

*Snuff Box Muscle*

Front 24

Deltoid

O

I

A

Back 24

O: Lateral 1/3 of the clavical, Acromion Process, and spine of the scapula

I: Deltoid tuberosity of the humerus

A: Entire deltoid abducts arm at the GH joint and downwardly rotates the scapula at the shoulder and Scapulocostal joints

Front 25

Biceps Brachii

O

I

A

Back 25

O: Supraglenoid tubercle (long head) Coracoid process of the scapula ( Short head)

I: Radial tuberosity and the deep fascia overlying the common flexor tendon

A: Flexes the forearm at the elbow

supinates forearm at the radioulnar joint

Flexes the arm at the GH joint

Front 26

Triceps Brachii

O

I

A

Back 26

O: Infraglenoid tubercle of the scapula (long head) Posterior shaft of the humerus (Lateral and medial heads)

I: Olecranon process of the ulna

A: Extends the forearm at the elbow

Front 27

Brachioradialis

O

I

A

Back 27

O: Proximal 2/3 of the lateral supracondylar ridge of the humerus

I: Styloid process of the radius

A: Flexes the forearm at the elbow

*hitch hicker muscle*

Front 28

Lateral epicondylitis is also known as?

Back 28

Tennis Elbow

Front 29

In Lateral epicondylitis what muscle is most affected

Back 29

Extensor carpi radialis brevis, due to the line of pull

Front 30

What special tests are used for lateral epicondylitis

Back 30

Tennis Elbow test

Front 31

Medial Epicondylitis is also known as ?

Back 31

Golfers elbow

Front 32

What muscle is often involved with medial epicondylitis

Back 32

Pronator teres due to the coordinated effort w/ wrist flexors and proximity of its proximal attachment

Front 33

With medial epicondylitis what would you want to differentiate from?

Back 33

Carpal or Cubital tunnel syndromes or pronator teres syndrome

Front 34

What special test do you use for medial epicondylitis

Back 34

Golfers elbow test

Front 35

What is pronator teres syndrome? What is identical to pronator teres syndrome? How do you differentiate?

Back 35

Compression of the median nerve by the pronator teres muscle.

Identical to carpal tunnel syndrome

No pain at night = pronator teres syndrome

Pain at night = Carpal tunnel Syndrome

Front 36

Specialty tests for pronator Teres Syndrome?

Back 36

Pronator teres test

Pinch grip test

Front 37

Where is the cubital tunnel?

Back 37

Space between the 2 heads of the flexor carpi ulnaris or the aponeurotic band that connects the heads

Front 38

What is Cubital tunnel syndrome

Back 38

Ulnar nerve compression between heads of flecor carpi ulnaris or aponeurotic band

Front 39

Specialty test for ganglion cyst?

Back 39

No specialty tests

Front 40

What is a Ganglion cyst

Back 40

Common tumors of the hand and wrist

Fibrous swelling that occurs hear joints, often attached to the capsule or tendon sheath

Front 41

What specialty test do you use for Dequervains tenosynovitis

Back 41

Finklesteins test

Front 42

What is deguervains tenosynovitis

Back 42

tenosynovitis of two tendons and their sheaths in the antomical snuff box of the wrist

Front 43

Specialty test for olecranon bursitis

Back 43

tendonitis - bursitis differentation

Front 44

What is olecranon bursitis? What would cause acute? What would cause Chronic?

Back 44

Inflammation of the olecranon bursa,

Compression trauma

Acute - Direct blow

Chronic - Repeated compression (leaning on elbows)

Front 45

Guyons canal syndrome specialty tests

Back 45

Froments sign

Front 46

What is guyons canal syndrome

Back 46

Compression of the ulnar nerve in the guyons tunnel

Front 47

Specialty test for radial tunnel syndrome

Back 47

Upper Limb neurodynamic test #3

Front 48

What is radial tunnel syndrome? What is it often mistaken for?

Back 48

Compression of a branch of radial nerve in the elbow region. Affects the terminal motor branch called the posterior inrerosses nerve (PIN)

Often mistaken for Lateral Epicodylitis

Front 49

Carpal tunnel specialty test?

Back 49

Phalens Test

Tinels Test

Tethered median nerve stress test

Front 50

What is carpal tunnel syndrome?

Back 50

Compression of the median nerve in the carpal tunnel

Front 51

What are the specialty tests for cubital tunnel syndrome?

Back 51

Elbow flexion test

Froments sign

Upper Limb Neurodynamic Test

Front 52

what is the tennis elbow test? How is it preformed? What does it test for

Back 52

Lateral Epicondylitis (tennis elbow)

Seated of standing, hand around elbow so thumb is pressing on the extensor tendon just distal to lateral epicondyle of the humerus other hand grasps clients hand and uses it to resist the clients wrist extension.

Pain at affected Tendons

Front 53

What is golfers elbow test? How is it preformed? What does it test for?

Back 53

Medial Epicondylitis (Golfers elbow)Seated of standing, hand around elbow so thumb is pressing on the flexor tendon just distal to medial epicondyle of the humerus other hand grasps clients hand and uses it to resist the clients wrist flexion. Pain at affected Tendons