UE MSK

Question 1

General

Answer 1

• Inspect skin for color, rashes, swelling, masses
• extremities for size, deformity, symmetry, position
• muscles for hypertrophy/atrophy

Question 2

Shoulder

Answer 2

• palpate (clavicle, AC joint, sub-acromial bursa, coracoid process, deltoid muscle insertion)
• check shoulder ROM (flexion, extension, abduction, adduction, internal rotation, external rotation)
• Neer’s impingement test
• supraspinatus strength test
• infraspinatus strength test
• forearm supination

Question 3

Elbow

Answer 3

• palpate (medial and lateral epicondyles, radial head, olecranon process, olecranon bursa)
• check elbow ROM (flexion, extension, pronation, supination)
• Tinsel’s Test (tap funny bone)
• 2 provocative tests for lateral epicdonylitis (forced wrist extension, grip test, or pushing on middle fingers w/ arms outstretched and palms down and fingers abducted)

Question 4

Hand

Answer 4

• palpate (radial and ulnar styloid process, thumb abductor tendons, anatomical snuff box)
• check wrist/hand ROM (wrist flexion/extension, radial/ulnar deviation, MCP flexion/extension, PIP/DIP flexion/extension, jazz hands, thumb opposition, flexion/extension, adduction/abduction, form a fist)
• Three signs for carpal tunnel (Tinel’s sign of median nerve percussion, phalen’s test of pressing flexed wrists together, palpate thenar muscle for atrophy)