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