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Tendon Transfers and extras CHT exam with Complete Solutions
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Tendon Transfers and extras CHT exam with Complete Solutions
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Tendon Transfers and extras CHT exam with CompleteSolutions
tendon excursion goal? how much motion? Correct Ans-3-5 mm excursion is needed for
best results with FTR
5 mm excursion = .5 radian = 28.7 degrees (MCP joint)
referred pain traps Correct Ans-face/interscapular region
referred pain scalenes Correct Ans-posterolateral arm/radial 3 digits
referred pain supraspinatus Correct Ans-lateral arm/forearm
referred pain infraspinatus Correct Ans-lateral arm/forearm and radial hand
referred pain lats Correct Ans-posteromedial arm/forearm and ulnar hand
referred pain pecs Correct Ans-anterior shoulder, medial arm, ulnar digits
referred pain subscapularis Correct Ans-posteromedial arm/wrist
referred pain serratus Correct Ans-medial arm/forearm, ulnar hand/digits
, Tendon Transfers and extras CHT exam with Complete
Solutions
Martin-Gruber anastomosis Correct Ans-communicating branch in forearm involving
motor fibers of median or AIN to communicate with ulnar nerve trunk (median-innervated
intrinsics with no sensory change)
Marinacci anastomosis Correct Ans-ulnar to median in forearm motor fibers (ulnar-
innervated thenars)
Riche-Cannieu anastomosis Correct Ans-connection of deep ulnar nerve to recurrent
median (can go either way)
Berretini anastomsis Correct Ans-sensory communicating branch of ulnar 4th digit to
median 3rd digit (overlap)
Meissners Correct Ans-quick, tap, flutter, Vibration 30 Hz, Moving 2 point
Merkel Correct Ans-slow constant touch or pressure, static 2 point
Paciniana Correct Ans-quick, very sensitive with gentle breeze, Vib. 256 Hz
Ruffini Correct Ans-slow, motion deep stretch of joint, steady pressure
, Tendon Transfers and extras CHT exam with Complete
Solutions
osteogenesis imperfecta Correct Ans-inherited condition when bone formation is
incomplete, leading to fragile, easily broken bones
collagen disorder
Type I - less collagen
Types 2-3 structurally abnormal collagen
Osteochondritis Dissecans Correct Ans-Fragment of cartilage and underlying bone is
detached from articular surface, usually at capitellum
Arthrogryposis Multiplex Congenita (AMC) Correct Ans--non-progressive neuromuscular
disorder
-*multiple congenital contractures at birth*
-cylinder-like extremities, significant and multiple contractures, dislocation of joints, muscle
atrophy
-at least 2 or more in multiple body areas
Arthrogryposis Multiplex Congenita amyoplasia type Correct Ans-symmetrical limb
involvement, most common, truncal sparing, above average intelligence, midline
hemangioma
(second most common is distal arthrogryposis)
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