5. Wrist & Hand Flashcards

1
Q

CMC

A

Carpometacarpal joint; thumb joint; saddle-joint

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2
Q

MCP

A

Metacarpal-phalangeal joints; Collateral ligaments; knuckles

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3
Q

IP

A

Interphalangeal joints; hinge joints; collateral ligaments; thumb = 1 joint; Digits 2-5 have PIP & DIP

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4
Q

Ulnar n.

A

Travels between pisiform & hamate; Peripheral nerve innervation palmar and dorsal surface of hand 1/2 of 4th digit & all of 5th

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5
Q

Median n.

A

Travels between pisiform & scaphoid; carpal tunnel; Peripheral nerve innervating majority of palmar hand surface & dorsal tips of digits 2, 3, & 1/2 of 4.

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6
Q

Radial n.

A

Travels under radial styloid; Innervates majority of dorsal hand surface & dorsal thumb

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7
Q

Radial a.

A

Under styloid process of radius

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8
Q

Ulnar a.

A

BIFURCATES AROUND HAMATE

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9
Q

Wrist extensors

A

Extensor carpi radialis (longus & brevis); Extensor carpi ulnaris

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10
Q

Wrist flexors

A

Flexor carpi radialis; Flexor carpi ulnaris

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11
Q

Ulnar deviators

A

Extensor carpi ulnaris; Flexor carpi ulnaris

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12
Q

Radial deviators

A

Extensor carpi radialis; Flexor carpi radialis

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13
Q

Thumb Abductor

A

Abductor pollicus longus (radial)

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14
Q

Thumb Extensors

A

Extensor pollicus brevis (radial); Extensor pollicus longus (ulnar); Abductor pollicus longus (radial)

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15
Q

Thumb Flexor

A

Flexor pollicus

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16
Q

Finger flexion

A

Flexor digitorum superficialis & profundus

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17
Q

Finger extension

A

Extensor digitorum; Extensor indicis

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18
Q

Thenar eminence innervation

A

Median n.

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19
Q

Hypothenar eminence innervation

A

Ulnar n.

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20
Q

Carpal Tunnel Syndrome Tests

A

Tinel sign; Phalan’s; Reverse Phalan’s

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21
Q

Finkelstein’s Test

A

Test for DeQuevain’s Disease; patient makes fist around thumb and actively ulnar deviates; (+) = pain at thumb extensors/abductors

22
Q

DeQuevain’s Disease

A

Tenosynovitis of abductor pollicus longus & extensor pollicus brevis

23
Q

Allen Test

A

Test for patency of ulnar and radial aa.

24
Q

Wrist sprains - Mechanism

A

Falling, forced hyperextension or hyperflexion

25
Scaphoid
Most commonly fractured carpal; forced hyperextension from fall
26
Boxer's Fracture
Fx of shaft of 5th MC often from wall punch
27
Colles' Fracture
Ben's fracture; Distal complete fx of radius; Bones drop inferiorly; Unable to actively supinate
28
Most commonly dislocated carpal bone
Lunate
29
Sign of Lunate Dislocation
3rd knuckle will ride more proximally
30
Trigger Finger
Tendon nodule catches in sheeth of finger flexor tendon; Finger tends to "stick"; Palpate with active flexion & extension of phalange; sudden palpable and audible snap
31
Mallet Finger
Inability to extend DIP due to rupture of extensor tendon
32
Ganglion Cysts
Fluid filled cysts in tendon sheeths; Non-tender; Usually occurs around wrist extensors; COMMON IN TRUCK DRIVERS
33
Tendon Sheeth Ganglion
Nodule in flexor tendon sheath; TENDER to palpation
34
Gamekeeper's Thumb
Ulnar Collateral Lig. Sprain of thumb due to hyperextension; from direct blow or falling
35
Skier's Thumb
Ulnar Collateral Lig. Sprain of thumb due to hyperabduction; from falling on outstretched arm while holding something like a ski pole or shovel
36
Volkmann's Contracture
Flexion contracture of elbow & wrist; WRIST EXTENSION CAUSES FINGER FLEXION; Post fracture/dislocation/compartment syndrome
37
Drop Wrist Palsy
Extensor muscles of wrist are damaged due to radial n. damage; wrist & fingers can't extend
38
Claw Hand Deformity
Hyperextension of MCP; Flexion of PIP & DIP; due to MEDIAN & ULNAR NERVE PALSY
39
Ape Hand Deformity
Inability to oppose or flex thumb due to MEDIAN NERVE PALSY
40
Dupuytren's Contracture
Contracture of palmar fascia; FIXED FLEXION OF MCP & PIP; USUALLY 4TH AND 5TH DIGITS; skin often adheres to fascia
41
Swan Neck Deformity
Flexion of MCP; Ext of PIP; Flexion of DIP; frequently caused by RA
42
Boutonniere Deformity
Extension of MCP; Flexion of PIP; Extension of DIP; Usually due to tendon rupture
43
Deformities specific to Osteoarthritis
Bouchard's nodes; Heberden's nodes
44
Bouchard's Nodes
At PIP joint; dorsal surface
45
Heberden's Nodes
At DIP joint; dorsal surface
46
Rheumatoid Arthritis
Ulnar deviation of MCP joints only; Flexion of PIP
47
Osler's Nodes
Small, tender nodes in finger pads indicative of bacterial endocarditis
48
Causes of clubbing
CHF; COPD; Lung cancer; Lung abscess
49
Cause of spoon nails
Plummer-Vinson Syndrome; also causes dysphagia
50
Subungual Hematoma
Blood accumulation under the nail; direct trauma