THER EXII Elbow & Forearm Complex

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  1. Supination and pronation occur at what joints of the distal UE
    proximal and distal radioulnar joint
  2. Movement of 0-150° motion occurs at what joint and what is the movement
    humeroulnar joint & Flex/Ext
  3. Movement of 0-90° motion occurs at what joint and what is the movement
    Humeroradial joint & Supination/Pronation
  4. This ligament of the elbow resists valgus forces
    medial (ulnar) colateral ligament
  5. this ligament resists varus forces and prevents posterior translation of the radial head
    lateral (radial)collateral ligament
  6. This ligament holds the radius in proper relation to the ulna and humerus
    annular ligament
  7. Brachialis, Biceps Brachii and brachioradialis are responsible for what motion of the UE
  8. Triceps brachii and anconeus do what motion of the UE
  9. What muscles supinate the forearm
    • Biceps brachii
    • Brachioradialis
    • Supinator
  10. What muscles pronate the forearm
    • Pronator teres
    • Pronator quadratus
  11. Name the Wrist flexors
    • flexor carpi radialis
    • flexor carpi ulnaris
    • palmaris longus
    • flexor digitorum superficialis
    • profundus
  12. Name the wrist extensors
    • extensor carpi radialis longus/brevis
    • extensor carpi ulnaris
    • extensor digitorum
  13. which nerve is responsible for cutaneous sensation of 5th digit and part of the 4th digit
    Ulnar nerve
  14. This nerve disorder appears long after the initial injury, is more observable in adults and is unique to this nerve
    Tardy ulnar palsy
  15. Cubital tunnel entrapment is caused by
    compression caused by edema(trauma, pregnancy) osteophytes, arthritis, repeated microtrauma
  16. This deep branch of this nerve may get trapped with a radial head fracture and cause motor deficits or changes
    Radial nerve
  17. Direct trauma to the superficial branch of this nerve will cause  sensory changes to the snuff box, radial dorsum and the digits
    Radial nerve
  18. Muscular innervation of triceps, anconeus, wrist extensors, extensor pollicus longus/brevis, abductor pollicus longus, supinator and brachioradialis is accomplished by what nerve
    Radial nerve
  19. Which nerve controls cutaneous sensation of the dorsum of the hand and digits 1-3
    Radial Nerve
  20. This disease is indicative of compression of the superficial branch of the radial nerve causes nocturnal pain along radial dorsum, ofetn caused by compression of a tigjht cast or edema
    Wartenberg's Disease
  21. Cutaneous ditribution of palmar surface of digits
    1-3 and medial half of 4th digit is what nerve
    Median nerve
  22. Muscular innervation of pronator teres, pronator quadratus, wrist flexors (except FCU), radial half of flexor digitorum profundus, abductor pollicus brevis are controlled by what nerev
    Median nerve
  23. This is a cardinal sigh of diabetic peripheral neuropathy
    Stocking/glove parasthesia
  24. Hypomobility of the the joint may be caused  by
    • RA, DJD, JRA
    • fractures, dislocations
    • adhesions & contractures after acute trauma
  25. What are some cause of limitation for supination and pronation
    • fractures
    • subluxation/dislocation
  26. Patient Ed., modifying ADL's, reduction of inflammation, PROM-AAROM with in pain limits,
    isometrics at multiple angles, proximal and distal joint exercises, distal to proximal massage is accomplished during what stage of treatment
    Protection phase
  27. Grade III-IV mobs, manual self stretching of periarticular tissue, joint tracking and resistive exercises in open/close chainnincluding dital and proximal joints is accomplished in what stage
    controlled motion phase
  28. Severe comminuted fractures of distal humerus, fracture/dislocation of radial head, chronic synovitis with deterioration in joint spaces are all indications for what kind of surgery
    Excision of radial head
  29. What are some Max protection treatments s/p radial head excision
    • Mobility of unoperated joints
    • PROM-AAROM within pain free ranges
    • continuos passive machine (CPM)
    • sub-maximal pain-free multiple angle exercises
  30. What are some contraindications after radial head excision
    • Varus and valgus stress in terminal flex/ext
    • no handling of heavy objects
  31. After TEA with a reflected tricep what exercises would be contraindicated
    isometric contractions of triceps for several weeks
  32. What are some precautions after TEA
    • no resisted elbow ext. 6-12 weeks if tricep reflected
    • apply resistance above elbow with strengthening exercises to avoid elbow stress
    • avoid pushing up from chair, using crutches,
    • cane or carrying objects for 6 weeks
    • no high load PRE
  33. Myositis  ossification occurs most often where in the elbow
    • in muscle-tendon unit of brachialis 
    • capsule or ligamentous structures
  34. Myositis ossificans (heterotopic or ectopic bone formation) in the elbow occurs most often in what type of patients and  as a result of what actions
    • TBI, SCI, burn patients
    • as a result of aggressive stretching of elbow flexors post injury/immobilization
  35. What tretaments can be used to manage elbow ectopic bone formation
    • PROM in pain free range
    • rest to alllow bone reabsorbtion
    • surgery may be necessary
    • NO massage, passive stretching, resistive exercises after traume to brachialis
  36. Inflammation at the origin of the musculotendinous junction of extensor carpi radialis brevis, caused by repetitive overuse of wrist extensors with forearm pronated is a sign of what diagnosis
    Lateral epicondylitis (tennis elbow)
  37. What are the two types of supracondylar fractures
    Type I humeral fragment lies posterior secondary to strong pull of tricep

    Type II humeral fragment lies anterior, flexion injury result of trauma
  38. How is a supracondylar fracture (transverse fracture of distal humerus) treated
    closed reduction and immobilization for 4-6 weeks in flexed position
  39. Severe forearm muscle pain, purple discoloration of hand, loss of radial pulse parasthesia leading to paralysis are symptoms of what diagnosis
    Volkmann ischemic contractures
  40. No active elbow extension >90° for 2 months, limited active resistive tricep extension once bony union has occured are all precautions for what type of fracture
    Olecranon fracture
  41. What procedure is used in elderly patients with a intercondylar Y or T fracture
    a collar and cuff sleeve with elbow maximally flexed to allow gravity to reduce fracture fragments "bag of bones"
  42. Isometric exercises starting with elbow flexed, pronated and wrist extended progressing to wrist flexion then elbow extension is used in maintenance of
    lateral epicondylitis
  43. Isometric exercises starting with elbow and wrist flexed progressing to wrist extension, supination and elbow extension is used in maintenance for
    medial epicondylitis
  44. Immobilization, activity modification cryotherapy, joint functions
    mobility maintenance (low intensity isometrics, cross fiction massage) are used in max protection phase for
    Lateral and medial epicondylitis
Card Set:
THER EXII Elbow & Forearm Complex
2014-02-23 00:52:26
Elbow Forearm Complex

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