Term
|
Definition
symptoms >30 days
no symptoms distal to shoulder
looking up does not aggravate symptoms
FABQ-PA <12
decr upper thoracic kyphosis
cervical ext <30* |
|
|
Term
| TOS = manifestation of symptoms resulting from... |
|
Definition
| compression of neurovascular bundle (subclavian a/v, brachial plexus) |
|
|
Term
| Structures that may compress neurovascular bundle (>>TOS) (8) |
|
Definition
scalenes
ribs
clavicle
coracoid pr
pec minor
subclavius
costocoracoid ligt |
|
|
Term
| Primary area of TOS/entrapment |
|
Definition
|
|
Term
| Secondary area of TOS/entrapment |
|
Definition
|
|
Term
| Brachial plexus exits between ____ & ____ scalenes |
|
Definition
|
|
Term
| Third most-likely area of TOS/entrapment |
|
Definition
|
|
Term
| Activities that may lead to coracoid pr entrapment of neurovascular bundle (TOS) |
|
Definition
| swimming, tennis (tighten pec minor) |
|
|
Term
|
Definition
neurologic
venous
arterial
combined |
|
|
Term
| Prevalence of neurologic TOS (%) |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
lower plexus (C8,T1 compression)
upper plexus (C5-C7 compression) |
|
|
Term
| Most common type of neurologic TOS |
|
Definition
|
|
Term
|
Definition
pain
anesthesia/paresthesia
weakness/wasting of thenar eminence
poor posture
special tests |
|
|
Term
|
Definition
Adson's
Wright's
Costoclavicular maneuver
Roo's
ULTT |
|
|
Term
| Population predisposed to TOS |
|
Definition
|
|
Term
|
Definition
based on exam findings
stretching (gentle! scalenes, pec minor)
strengthening (postural mm)
postural re-ed
MFR
1st rib mob
rest
modalities
*diaphragmatic breathing* (relax accessory respiratory mm) |
|
|
Term
|
Definition
resection of fibrous bands
scalenectomy
removal of cervical rib |
|
|
Term
| Success rate of surgical Rx of TOS |
|
Definition
|
|
Term
| Distal nn prone to entrapment |
|
Definition
|
|
Term
| Syndromes caused by entrapment of median n |
|
Definition
pronator syndrome
carpal tunnel syndrome |
|
|
Term
| S/Sx of pronator syndrome |
|
Definition
NO paresthesia (ant interosseous br)
pain c resisted pron & elbow flex (sometimes passive sup)
(+) pinch sign
Electrodiagnostics are NOT helpful |
|
|
Term
|
Definition
|
|
Term
|
Definition
night symptoms
(+) Tinels
(+) Phalens
Thenar atrophy
Confirmed by electrodiagnostics |
|
|
Term
|
Definition
cock-up splint
NSAIDs
posture correction
positioning
surgery |
|
|
Term
| Sites affected by entrapment of ulnar n |
|
Definition
|
|
Term
| S/Sx of ulnar n entrapment: elbow |
|
Definition
pain/paresthesia radiating to digits 4&5
symptom reproduction c elbow ext, pron, FCU contraction
(+) sustained elbow flex
(+) Tinels |
|
|
Term
| S/Sx of ulnar n entrapment: wrist |
|
Definition
weakness: abd digiti minimi, abd pollicis
Wartenberg's sign (inability to add 5th digit) |
|
|
Term
| Syndromes 2º Radial n entrapment |
|
Definition
radial tunnel syndrome
superficial branch compression (Wartenberg's syndrome) |
|
|
Term
| Radial tunnel syndrome: S/Sx |
|
Definition
mimics tennis elbow, but tenderness distal to lat epicondyle
pain on resisted sup
(+) middle finger sign (pain/weakness on resisted ext of digit 3)
(±) radial ULTT |
|
|
Term
| Injury >> radial tunnel syndrome |
|
Definition
|
|
Term
| Radial n: location of superficial branch |
|
Definition
| beneath brachioradialis, near radial styloid |
|
|
Term
| Radial n Superficial branch compression: causes |
|
Definition
tight bracelet/band at wrist
SENSORY changes only |
|
|
Term
| Tension on nerve incr intraneural ______ |
|
Definition
|
|
Term
| Pain sources in nn injury |
|
Definition
connective tissue (dura mater)
neural tissue |
|
|
Term
| Neural symptom descriptors |
|
Definition
jumping (pain in one part, then another)
lines (pathways of pulling/tightness)
clumps (jts, tension points)
linking up of symptoms |
|
|
Term
|
Definition
multiple, bizarre
pt reluctant to discuss
can include tiredness, aching, burning, heaviness, vague |
|
|
Term
| Rx principles for nn injury |
|
Definition
1. treat jt hypo/hypermobility
2. take care c irritable pts
3. start gently c stretching used to eval
4. don't stress jt during Rx |
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