Quiz 10: UE part 2
Repetitive trauma hand conditions include: __________
-Carpal tunnel syndrome -Trigger finger -Dequervain's -Tendonitis
carpal tunnel syndrome: Symptoms- __________
-Pain -Numbness/Tingling: tingling most often takes place in the thumb, index, middle and ring fingers especially at night or with specific tasks such as driving or reading newspaper -Weak grip -Occasional clumsiness -Tendency to drop things
Trigger finger: Symptoms- __________
-Pain at the base of the finger -Small nodule or bump in the palm of the hand -Difficulty extending finger
Dequervain's tenosynovitis: Symptoms- ____________
-Pain will be noted along the thumb side of the wrist, -Pain with pinching or with movements of the wrist. -A twisting motion, such as wringing out a washcloth, can also create pain.
Cubital tunnel syndrome: Symptoms- ___________
-Pain, numbness, tingling and weakness in the hand are all symptoms. -Usually felt in the small and ring fingers. -Putting pressure on the elbow or bumping it can cause an "electric shock" sensation to the fingers. -"clumsiness" in the hand, or a claw-like deformity of the ring and small fingers.
Triceps tendonitis: Causes & Contributing Factors- _______
-Sports, such as weightlifting, boxing and throwing, where are great deal of force is exerted through the triceps tendon -Having poor form while attempting activity -Not warming up adequately -Having muscle weakness -Not allowing enough recovery time between workouts -History of prior injury -Being overweight
carpal tunnel syndrome: Causes- ________
-Swelling of the lining of the flexor tendons, called tenosynovitis -Joint dislocations -Fractures -Arthritis -Fluid build-up during pregnancy
Cubital tunnel syndrome has several possible causes: __________
-The nerve can stretch when the elbow is bent for long periods of time with activities such as sleeping or holding a phone to the ear. -The anatomy can be another cause, as the nerve can shift over the bony part of the inside of the elbow during motion. -Direct pressure on the elbow, frequent bending or intense physical activity of the elbow can also irritate the nerve
If someone has an overuse syndrome, what can an OT do to treat?
-rest -splinting -ice initially -progress to heat for stretching -change the way the person does an activity -antiinflammatories -education -strengthening
People can develop carpal tunnel syndrome if ___________
-their anatomy is smaller (compression occurs) -sprain/fracture with bony fragment pushing -swelling of flexor tendons that pass through the tunnel
On the anterior side: the carpal tunnel is bordered by the ___________
-transverse carpal ligament -flexor retinaculum
The most common age group with medial epicondylitis is between ___________.
20-50 years old, although it can occur at any age
LaTeral epicondylitis: The most common age group is between ___________.
30-60 years old, although it can occur in younger and older patients
There are ________ tendons passing through the carpal tunnel.
9: -4 FDS -4 FDP -1 FPL
____________= distal biceps tendon tendonitis -pain in the front of the elbow, presumably due to inflammation of the biceps tendon.
Biceps tendonitis
___________= inflammation of the tendons that past through the first dorsal compartment of the wrist.
Dequervain's tenosynovitis
____________ is also known as washer woman's syndrome.
Dequervain's tenosynovitis
__________ may or may not be an inflammatory condition.
Epicondylitis
-Ulnar artery -Ulnar nerve -FCU tendon ...All pass through the ____________.
Guyon's cannal
_________ is also called Tennis elbow
LaTeral epicondylitis
__________= Any activity, such as gripping or repeated grasping, can strain the tendon attachment to the lateral epicondyle.
LaTeral epicondylitis
___________ is also called Golfer's elbow.
Medial epicondylitis
___________= Any repeated activity with the palm down and the wrist bent or gripping can strain the tendon at the inside of the elbow.
Medial epicondylitis
_________ = pathological changes in the tissues themselves.
Tendinosis
___________ is inflammation of one of the flexor tendons in the palm.
Trigger finger
Biceps tendonitis is felt on the _________ side of the elbow.
anterior/front
Trigger finger can occur in __________
any of the digits; but the most common is the middle and ring finger
Tendinitis can occur with __________
any tendon
___________ is know as uInar compressive neuropathies at the elbow (from the midarm to the midforearm)
cUbital tunnel syndrome
On the dorsal side: the carpal tunnel is bordered by the ___________
carpal bones
One of the most commonly known repetitive motion injury is the hand is __________
carpal tunnel syndrome
The tendons of the medial epicondyle are ________ tendons.
common flexor
Cubital tunnel syndrome: Systemic diseases such as diabetes, chronic alcoholism, renal failure, and malnutrituon may expose someone to a _________ at the elbow.
compressive neuropathy
Trigger finger is more common in people with ___________.
diabetes, arthritis or when there has been an injury to the palm of the hand
-Tendinopathy: Lateral epicondylitis, medial epicondylitis -Cubital tunnel syndrome -Biceps/triceps tendonitis = _________ conditions
elbow
The tendons on the lateral side of the arm work to _____________
extend the wrist/fingers
The lateral part of the elbow contains the ___________ attachment.
extensor tendon
Biceps tendonitis: Symptoms and impairment with elbow _____________.
flexion and supination
Actions that may make Medial epicondylitis worse include __________.
gripping, pulling or lifting
Synonomous terms for Lateral epicondylitis are _______________
lateral epicondylitis or lateral tendinosis
Synonomous terms of Medial epicondylitis are _________
medial tendinitis or medial tendinosis
carpal tunnel syndrome is when there is compression at the ________ nerve in the wrist.
median
Tendinitis typically occurs with __________
overuse or injury to the tendon
Common activities that may lead to medial epicondylitis can include _____________.
pitching, golfing, carrying a heavy suitcase, playing a violin or painting
Triceps tendonitis: Symptoms- The main symptom is pain at the ________ of the elbow.
posterior/back
The common flexor tendons control wrist _________
pronation
Trigger finger may occur with _____________.
repeated gripping, or with the use of tools, such as a drill or wrench
Triceps tendonitis: There may be accompanying stiffness and swelling. In more severe instances, the back of the elbow will ache and the patient will experience a __________, especially against resistance. The area at the back of the elbow may also be tender to the touch.
sharp pain when extending the elbow
Cubital tunnel syndrome typically develops from __________ and the biomechanics of the nerve at the elbow.
someones anatomy
Tendonitis of the biceps is caused by ___________.
strain from a sudden increase in amount or intensity of activity, or from overuse or repetitive elbow bending or wrist rotation, particularly with supination (when turning the palm up, such as when using a screwdriver)
Wrist Tendonitis is known as ___________
tendinitis
DeQuervain tendinopathy is thought to be from ___________
thickening and narrowing of the first compartment tunnel, or may occur because of inflammation or degeneration of the tendons of the first compartment
__________ is referred to as weightlifters elbow.
triceps tendonitis
If you can carpal tunnel syndrome, you're likely to have ________
trigger finger or another cumulitive trauma disorder
Cubital tunnel syndrome is compression of the __________ at the elbow.
ulnar nerve
The cause of trigger finger is _________
unknown