2nd wrist

Question 1

a. What is a dorsal wrist?

Answer 1

a. Occasionally a cystic, pea-sized swelling (ganglion)
b. Can occur on the dorsal or volar aspect of the wrist
c. Small tiny tear in the joint capsule allowing fluid to escape

Question 2

b. What causes dorsal wrist?

Answer 2

a. Perhaps biomechanical alterations

Question 3

a. What is a mallet finger?

Answer 3

a. Terminal phalanx of the finger is permanently flexed at the DISTAL joint
b. Cannot be voluntarily extended

Question 4

a. Of the anatomic snuff box: what is the floor, ulnar border, radial border

Answer 4

a. Scaphoid
b. Extensory pollicus longus
c. Abductor polllicus longus

Question 5

a. What may repetitive and overuse of ulnar and radial deviation lead to?

Answer 5

a. De quervains disease aka stenosing tenosynovitis
b. Swelling and inflammation in tunnel 1
c. Abductor pollics longusand extensory pollicus brevis involved.

Question 6

a. De quervains disease is more common in woman, T/F

Answer 6

a. True

Question 7

b. What do patients report when with de quervains disease?

Answer 7

a. Pain at dorsolateral aspect of the wrist

b. Thumb and/or lateral forearm

Question 8

a. What are the short muscles of the thumb?

Answer 8

a. Abductor pollicus brevis
b. Flexor pollicus brevis
c. Opponens pollicis
d. Adductor pollicis

Question 9

a. What is skiers thumb?

Answer 9

a. Ulnar collateral ligament avulsion of the MCP joint

b. Aka: gamekeeprs thumb

Question 10

a. What are the short muscles of the 5th digit?

Answer 10

a. Abductor digiti minimi
b. Flexor digiti minimi
c. Opponens digit minimi

Question 11

a. What are the interosseous muscles of the hand?

Answer 11

a. Three palmar interossei
i. Each adduct the digit toward the middle digit
b. Four dorsal interossei
i. Abduct the index, middle and ring fingers from the midline of hand

Question 12

a. What do lumbricales function as?

Answer 12

a. To perform the motion of IP joint extension with the MCP joint held in extension
b. Can assist the MCP flexion

Question 13

a. What is the trasnverse arch formed by?

Answer 13

a. Within palmar concavity of the carpal bones
b. Scaphoid and trapezium laterally
c. Pisiform and hamate medially

Question 14

b. What is the metacarpal arch formed by?

Answer 14

a. Formed by metacarpal heads

Question 15

c. What forms the longtiudinal arch?

Answer 15

a. 3rd and 5th digit

b. Spans lengthwise keystone at MCP joint

Question 16

d. What forms the oblique arches?

Answer 16

a. Thumb in opposition to the other fingers

Question 17

a. What are the 3 peripheral nerves that supply the skin and muscles of wrist and hand?

Answer 17

a. Median
b. Ulnar
c. Radial nerve

Question 18

a. What are the vascular arches of the hand?

Answer 18

a. Dorsal arches

b. Palmar arches

Question 19

a. What is keinbochs disease?

Answer 19

a. Aka avascular necrosis of lunate
b. Occupational excessive dominant hand use
c. Localized and radiating wrist pain, swelling and disability
i. Unilateral
d. Entrapment neuropathy, DJD
e. Increased lunate density
i. Short ulnar bone in 75% of cases
ii. Replace lunate with plastic implant
iii. Treatment: reduction of hand trauma

Question 20

a. Pronation of the forearm causes :

Answer 20

a. Concave ulnar notch of the radius glides around the peripheral surface of the relatively fixed convex ulnar head
b. Limited by bony impaction between the radius and the ulna

Question 21

a. What is supination limited by?

Answer 21

a. Interosseous membran
b. Bony impaction between the ulnar notch of the radius and
c. the ulnar styloid process

Question 22

a. Where does wrist flexion take place?

Answer 22

a. Midcarpal joint

b. Slight ulnar deviation and supination of forearm

Question 23

b. Where does wrist extension take place?

Answer 23

a. Radiocarpal joint

b. Slight radial deviation and pronation of forearm

Question 24

a. Where does radial deviation occur? What is it limited by?

Answer 24

a. Between the proximal and distal rows of the carpal bones

b. Limited by impact of scaphoid onto the radial styloid and ulnar collateral ligament

Question 25

a. Where does ulnar deviation occur? What limits it

Answer 25

a. At radiocarpal joint

b. Limited by radial collateral ligament

Question 26

a. What are the 4 power grips?

Answer 26

a. Fist grip
b. Cylindrical grip
c. Ball grip
d. Hook grip

Question 27

A. What muscles are important in precision?

Answer 27

a. Intrinsic muscles

Question 28

a. What are spoon nails?

Answer 28

a. Aka koilonychia
b. Concave nails
c. From severe fungus infection

Question 29

a. What do clubbed nails indicate?

Answer 29

a. Pulmonary disease is most common

b. Cardiovascular disease is the second

Question 30

a. What is a felon?

Answer 30

a. Inflammation of the terminal finger pad
i. Confinged by tough fascia attached to the periosteium
b. Swelling of the fingertip and dull pain
c. Pain heightens and becomes throbbing
d. Tenderness is intense
e. My produce osteomyelitis
f. Absecess to burst through volar surface of finger pad may occur

Question 31

a. What is paronychia?

Answer 31

a. Aka hangnail
b. Skin over the mantle of nail
c. Lateral nail is swollen, reddened painful, tender
d. Pus is over nail
e. Palpation provokes exquisite pain
i. May indicate subungual abscess between nail plate and periosteum

Question 32

a. What is throwers wrist?

Answer 32

a. Over extension of the carpals

i. Straining or spraining structures

Question 33

a. What is wrist/hand strength test?

Answer 33

a. Isometric tests including interossei and lumbricles

Question 34

a. What is performed when checking neurovascular status?

Answer 34

a. Skin for warm or dry aread of hand, excessive warmth
b. Unnatrual dry conditino may indicate nerve damage
c. Allens test
d. Tinels test for carpal tunnel syndrome