PCM 3 UE Shoulder and elbow Questions with Correct Answers (Grade A+)

PCM 3 UE Shoulder and elbow Questions with Correct Answers
(Grade A+)

Question 1: What are the 3 main joints at the elbow?

Answer: - Humeroulnar - Proximal Radioulnar - Humeroradial


Question 2: Primary Stabilizing joint of the elbow?

Answer: Humeroulnar joint


Question 3: Joint involved in pronation and supination

Answer: Proximal radioulnar joint


Question 4: What elbow ligament pre- vents Valgus?

Answer: UCL


Question 5: What elbow ligament pre- vents Varus?

Answer: LCL/RCL


Question 6: Most commonly associat- ed symptom with UCL In- jury?

Answer: Ulnar nerve involvement


Question 7: Annular Ligament?

Answer: binds the head of the radius to the ulna and provides elbow stability by preventing radius from
moving too far laterally


Question 8: Primary elbow flexor and extensors?

Answer: Brachialis and Triceps


Question 9: What position is the elbow least stable in?

Answer: Extension


Question 10: Muscles on the Lateral epi- condyle?


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, Answer: - Brachioradialis - ECRB - ECU - ECRL


Question 11: Muscles that are on the medial epicondyle?

Answer: - FCR - Pronator teres - Flexor Digitorum - Palmaris Longus - FCU


Question 12: Mains stabilizing elbow muscles?

Answer: - Biceps - Triceps - Brachialis


Question 13: Loose Pack of humeroul- nar Jt?

Answer: 70º Flexion 10º supination


Question 14: Open Pack Humeroulnar JT?

Answer: Full extension


Question 15: Elbow capsular pattern

Answer: Flexion Limited more than extension


Question 16: Lateral Epicondyalgia Symptoms?

Answer: - Pain over lateral epicondyle of the humerus - Aggravated By griping and wrist extension - Pain
upon palpation of Lat Epicondyle - Pain reproduced in Resisted wrist extension - Pain reproduced in
Resisted Mid Digit ext


Question 17: CPR for lateral epicondyal- gia?

Answer: - <49 years old - Attected side pain free grip >112 Newtons - Unattected side pain free grip <335
Newtons - Change in pain >25% following mobilization with movement


Question 18: Lateral Epicondyalgia In- terventions?

Answer: - Manual therapy - Strengthening - Nerve glides - Patient education and ergonomics - Nerve glides
- NM Re education


Question 19: UCL Strain Key findings?

Answer: - Pain with palpation of UCL - +Valgus stress test - +Moving valgus test



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, Question 20: Posterolateral rotary insta- Lack bility?

Answer: of stability to the RCL complex


Question 21: Posterolateral rotary insta- FOOSH/Elbow bility MOI?

Answer: dislocation


Question 22: Posterolateral rotary insta- - LCL/RCL bility Key findings?

Answer: palpation pain - +Posterolateral rotary instability test - Internal rotation pushup test - Liftott test
from chair


Question 23: Stage 1 elbow dislocation? LCL

Answer: disruption, elbow subluxes posteriorly


Question 24: Stage 2 elbow dislocation? Disruption

Answer: of anterior capsule, coronoid process perched on trochlea


Question 25: Stage 3 elbow dislocation? Disruption

Answer: of posterior and anterior capsule, UCL damaged, elbow dislocated


Question 26: Is it with a medial or a lateral elbow injury that you do NOT want the pa- tient to enter
the vulner- able position of extension and supination?

Answer: Lateral


Question 27: What movements should be avoided for Medial in- stability of the elbow?

Answer: - Pronation - Valgus stresses


Question 28: Special tests for lateral el- bow instability?

Answer: - chair sign (PLRI) - pivot shift - varus stress test (LCL) - table top relocation test (PLRI) - Active
floor push up (PLRI)


Question 29: Medial Elbow instability tests?

Answer: - Moving valgus stress test - Valgus stress test - Milking manuever



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