Dpt 2 - MSK – elbow Exam Questions With Correct Answers

Dpt 2 - MSK – elbow Exam Questions With Correct Answers T/F insidious elbow pathology is often contractile - answerfalse elbow is the "middle portion" of the upper kinematic chain - screen above and below if pt hx indicates *insidious onset* c/o weakness and pain in the shoulder what should you screen - answercervical spine do extremity joint assessment, reflexes, and/or myotome assessment maybe radial/ulnar n intrapment? pt hx - if there is pain while leaning on the "point" of the elbow - answerolecranon bursitis pt hx - younger pt - answerradial head dislocation pt hx - older pt - answerOA lateral epicondalgia osteochondritis dessicans what is osteochondritis dessicans - answerjoint mice small fragments of bone and cartilage causing inflammation common elbow MOI - answerFOOSH insidious weakness (cervical) repetitive motion injury (occupational) falling forward with a FOOSH increases risk of - answerradial head fx EXAM STUDY MATERIALS July 29, 2024 12:59 PM falling backwards with a FOOSH increases risk of - answerolecranon fx pt hx - locking or catching - answerloose body possible see joint mice pt hx - inability to fully extend - answerpotential synovitis or fx if following trauma do *elbow extension test SN = 0.97-1.0* pt hx - if doing athetics/activity and felt a "pop" with pain and swelling medially - answermaybe MCL sprain pt hx - athletic populations - answerlook at equipment, consider acute vs gradual throwing injuries pt hx - what should you ask regarding timeline - answerlength of time the injury has been present and sx location to figure out stage of injury, tissue involved UCL - ulnar collateral lig - what surgery to repair - answertommy john's conditions at the elbow are commonly described by - answerlocation eg: lateral epicondalgia, radial tunnel syndrome medial elbow impairments - answergolfer's elbow little leaguer's elbow (UCL) cubital tunnel syndrome (ulnar n) anterior elbow impairments - answerbiceps tendonitis/-osis biceps bursitis/tumor posterior elbow impairments - answerolecranon bursitis olecranon fx triceps tendonitis/-osis (rare) EXAM STUDY MATERIALS July 29, 2024 12:59 PM cubital fossa pain - answertear of brachialis mm at MT junction biceps brachii lesion left arm/elbow pain precipitated by physical exertion and relieved by rest - answerangina objective exam of the elbow - answerobservation screen above and below palpation AROM with passive overpressure resisted testing (RI, MMT) joint play special tests screening when suspecting fx - answertuning fork and stethoscope do unaffected side first meh psychometrics A/PROM prime movements at the elbow - answerflexion extension supination pronation is ROM limited vs full, painful vs painless combined motions at the elbow to test - answerflexion, adduction, forearm pronation flexion, abduction, forearm supination extension, abduction, forearm pronati