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If there is pain in the anatomical snuff box what bones has been fractured?
Scaphoid bone
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what is the principle function of the shoulder?
Place the hand in space
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I have soft tissue swelling in my upper arm/shoulder?
Humeral fracture
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Bicep area has a round bulge more distal?
Biceps rupture
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what is the diff b/t atrophy and dislocation of the humerous?
- dislocation: humeral head felt down and inferiorly, flat
- atrophy: humeral head not felt, flat
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Paralyzed serratus anterior and long thoracic nerve injury?
Winged scapula
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Four muscles of the rotator cuff? SITS
- Supraspinatus
- Infraspinatous
- Teres minor
- Subscapularis
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what muscle is generally damaged in rotator cuff injuries?
Supraspinatous
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I have pain in my shoulder as I elevate my hands, local tenderness as well?
- Impingement syndrome (Tendonitis of Rotator Cuff)
- ** Supraspinatous muscle is impinged
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I cannot abduct my arms?
- Rotator cuff tear
- ** Supraspinatous mm torn
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What test is performed for impingement syndrome?
Abduct and rotate
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What test is performed for a rotator cuff tear?
Drop Arm Sign: If they abduct and then try to drop, the arm will drop quickly and uncontrollably
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How do you test Supraspinatous?
Abduct against resistance
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How do you test Subscapularis?
Medial rotation against resistance
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How do you test infraspinatous & teres minor?
Lateral rotation against resistance
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I have a dull, aching pain with no tenderness. It is also hard to move my arm?
Adhesive capsulitis
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What joint most commonly is agitated by degenerative arthritis?
- Acromioclavicular joint
- ** 10% pain = arthritis
- ** 90% pain = soft tissue issue
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I recently exercised, and I have pain at the bicipital groove in proximal humerus. My shoulder motion is also limited.
bicipital tenosynovitis (tendonitis)
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What is Yergason's sign?
- Test for bicipital tendonitis
- **
flex to 90, pronate forearm, grab pts hand and ask them to supinate = pain at bicipital groove
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What are four common issues with the elbow?
- Epicondylitis
- Olecranon Bursitis
- Arthritis
- Trauma
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What is another name for lateral epicondylitis?
Tennis elbow (extension/DF pain)
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What is another name for medial epicondylitis?
Pitcher's/golfer's elbow (flexion pain)
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Child is guarding extreminty, has limited ROM, holds elbow flexed with forearm pronated...what is the condition and what ligament is affected?
- Nursemaids elbow
- ligament: Anular ligament
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Fracture of distal radius
Colle's fracture
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What is the Allen test?
- occlude radial and ulnar arteries
- have pt make fist several times and squeeze
- have pt release fist
- release pressure over ulnar artery
- hand should be pink again 3-5 s
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what nerve is compressed in carpal tunnel?
Median nerve at flexor retinaculum
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What is Tinel's sign?
- ** for carpal tunnel
- Percuss over median nerve and ask the pt if they feel sensation
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What is Phalen's test?
- **for carpal tunnel
- Hold both hands together while flexed (back to back) for 30-60 s
- If carpal tunnel, sensation in hands will disappear
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extensor tendons of thumb are painful, pain over radial styloid
Pain is worse with flexion of thumb
tenosynovitis of the wrist (deQuervain's tenosynovitis)
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