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MSK Fall P2 > 9] Wrist > Flashcards

9] Wrist Flashcards

1
Q

Dinner fork deformity

A

Colles’ fracture

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2
Q 
Retrograde massage
Edema glove
Compression sleeve
Elevation
AROM
Taping
A

Edema management

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3
Q

PROM intervention for wrist

A 
Prayer stretch
Thinker stretch
Table stretch
Ball rolling
Ball turns
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4
Q

OP for distal radioulnar

A

10 deg supination

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5
Q

CP for distal radioulnar

A

5 deg supination

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6
Q

Radio/ulnar carpal joint is more responsible for

A

Extension

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7
Q

Midcarpal joint is more responsible for ?

A

Flexion

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8
Q

OP for radio/ulnar carpal

A

Neutral

Slight UD

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9
Q

CP for radio/ulnar carpal

A

Full extension and radial deviation

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10
Q

Midcarpal joint OP

A

Neutral, slight flex, slight UD

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11
Q

Midcarpal joint CP

A

Full extension

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12
Q

Functional ROM for wrist flexion

A

5-40 deg

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13
Q

Functional ROM for wrist extension

A

30-40 deg

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14
Q

Functional ROM for wrist RD

A

10-20 deg

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15
Q

Functional ROM for wrist UD?

A

15-20 deg

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16
Q 
Radial styloid
Scaphoid 
Scaphotrapezial joint and trapezium 
Base of 1st MC
1st CMC joint
Tendons of 1st-3rd extensor compartments
Dorsal radial sensory nerve (DRSN)
A

Radial dorsal zone

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17
Q 
Listers tubercle
Lunate
Scapholunate interval
Capitate
Base of 2nd and 3rd MC
Tendons of 2nd-4th extensor compartments
A

Central dorsal zone

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18
Q 
Ulnar styloid
Ulnar head
DRUJ
TFCC
Hamate
Triquetrum
Lunotriquetral interval
4th and 5th CMC
ECU
A

Ulnar dorsal zone

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19
Q 
Scaphoid tuberosity 
Palmaris longus
FCR
Median nerve
Radial artery
A

Radio volar zone

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20
Q

Pisiform
Hook of hamate
FCU
Ulnar nerve and artery

A

Ulnar volar zone

21
Q 
Edema control
Digital ROM
Pain control
Modalities
Education
AROM exercise
Joint mobs
A

4 weeks post op

22
Q 
Continue with current POC
Progress to PROM of wrist and forearm 
Scar massage/mob
Wrist isometrics
Dexterity
A

6 weeks post op

23
Q

Wrist strength
Grip and pinch strength
Progress ROM to WFL

A

8 weeks post op

24
Q

Progress to full WB
Progress to return to sport
Teach an independent HEP

A

12-16 weeks post op

25
Q

Fracture of wrist

A

Scaphoid fracture

26
Q

Entrapment of wrist syndromes

A

Carpal tunnel and ulnar tunnel

27
Q

Instability of the wrist

A

TFCC
Scapholunate instability
DRUJ instability

28
Q

Scaphoid fracture MOI

A

FOOSH

29
Q

Pain/tenderness in anatomic snuff box

Swelling and bruising possible

A

Signs and Sx of scaphoid Fx

30
Q 
Tenosynovitis
Joint dislocation
Fx
Arthritis
Fluid build up during pregnancy
A

MOI for carpal tunnel

31
Q 
Night pain
Numbness
Tingling
Weak grip
Occasional clumsiness
Tendency to drop things
Thenar atrophy (late stage)
A

Signs and Sx of carpal tunnel

32
Q

Rest, splinting
Decrease pain and inflammation
Tendon and nerve glide
Education

A

Acute goals for carpal tunnel release

33
Q

Stretching
Desensitization
Strength and endurance
Coordination

A

Sub acute goals for carpal tunnel release

34
Q 
Cyst
FOOSH
Cycling
Repetitive trauma
Chronic pressure
A

MOI for ulnar tunnel syndrome

35
Q

Weakness
Pain
Numb/tingle

A

Signs and Sx for ulnar tunnel syndrome

36
Q

Fall onto supinated outstretched hand

A

MOi for TFCC

37
Q

Direct blow to the ulnar side of wrist/hand

A

MOI for TFCC

38
Q

Swinging a bat or racquet
Violent twist of the wrist at work or in sports
Associated with DRF

A

MOI for TFCC

39
Q

Pain on ulnar side of wrist
Increased with end range pronation, supination and forceful griping
Clicking or feeling of catch in wrist
Weakness

A

Signs and Sx for TFCC

40
Q

Press (sit to stand) test
Supination lift test
TFCC load test

A

TFCC tear

41
Q

Most common carpal instability

A

Scapholunate instability

42
Q

FOOSH

Arthritis

A

MOI for scapholunate injury

43
Q

Pain
Weak grip strength
Swelling
Inability to weight bear

A

Signs and Sx of scapholunate injury

44
Q

Watsin test

A

Scapholunate injury

45
Q

Inhibit what muscle for scapholunate Tx?

A

ECU

46
Q

After DRF
FOOSH
Arthritis

A

MOI for DRUJ

47
Q

Dorsal wrist pain
Limited pronation/supination
Decreased grip strength
“Clunk” with UD

A

Signs and Sx of DRUJ

48
Q

Radioulnar ballottement

Piano key

A

Special tests for DRUJ

MSK Fall P2 (10 decks)

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