Upper Extremity: Injuries and Conditions

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Author:
katysando
ID:
119098
Filename:
Upper Extremity: Injuries and Conditions
Updated:
2011-11-27 09:01:55
Tags:
soft tissue assessment
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Description:
tests
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  1. CERVICAL:
    Whiplash (acceleration injury)
    • Injury to mostly anterior neck flexors
    • *Cervical compression Test
  2. CERVICAL:
    Disc injuries and radiculopathies
    • Radiating pain or paresthesias, spasm or weakness in myotomal distribution
    • *Cervical compression test
  3. CERVICAL:
    Entrapment/Impingement, Thoracic Outlet Syndrome
    • Pain simalar as: tennis elbow, carpal tunnel, cervial radiculopathy. Pain in 4th or 5th digit at night
    • *Anterior head
    • *Raynaud's Phenomenon (hand turns white blue then red)
  4. CERVICAL:
    Special Tests for TOS
    • nerve tension tests
    • Halstead Manuever
    • Adson's
    • Hyperabduction test
  5. Shoulder Joint:
    Shoulder tendinitis (SITS)
    • Swimmer's elbow- impingement under the coracoacromial arch
    • Supraspinatus - *empty can test, hawkins kennedy
    • infraspinatus- *painful arc 60-130
    • subscapularis- * horizontal adduction test
    • Biceps Brachii- * speeds test, hawkins kennedy
  6. ELBOW/FOREARM:
    tennis elbow/lateral epicondylitis
    • *ECRB - most commonly involved muscle
    • * Police stop sign test
  7. ELBOW/FOREARM:
    Medial epicondylitis/ Golfer's elbow
    *Pronator Teres, Common flexor tendon at medial epicondyle
  8. ELBOW/FOREARM:
    De Quervain's Tensynovitis
    • tenosynovitis at the base of the thumb :abductor pollicis longus, extensor pollicis brevis (snuffbox)
    • *finklestein's test
  9. ELBOW/FOREARM:
    Carpal Tunnel
    • Compression of Median Nerve, passes thru tunnel with 9 other tendons. More in older women
    • pain felt in digits 1-3 and lateral 1/2 of 4th digit
    • *thenar eminence weak
    • *Phalen's, Reverse Phalen's, o-ring's test, Tinnel's sign
  10. ELBOW/FOREARM:
    Ulnar Nerve
    • ulnar nerve moves through the pisohamate (canal of Guyom)
    • *Claw Hand
    • pain with flexor carpi ulnaris movements
    • *Ulnar Nerve tension test, positive tinnel's sign
  11. ELBOW/FOREARM:
    Radial Nerve
    • *Saturday night palsy- compression on humerous
    • Wrist Drop
    • Radial Nerve Tension test

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