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fall B 2024 > assessment of the wrist and hand > Flashcards

assessment of the wrist and hand Flashcards

1
Q

CMC/MCP close packed

A

fist

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2
Q

CMC/MCP loose packed

A

slight flexion

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3
Q

IP close packed

A

full extension

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4
Q

IP loose packed

A

slight flexion

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5
Q

1st CMC capsular

A

abd > ext

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6
Q

MCP and IP

A

flexion > extension

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7
Q

scaphoid compression test

A

sitting with arms relaxed
longitudinal pressure through thumb

+ test reproduction of symptoms

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8
Q

anatomical snuffbox tenderness

A

sitting with arms relaxed
pressure on snuffbox

+ pain or tenderness during palpation

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9
Q

radial and ulnar styloid

A

widest projection of wrist

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10
Q

metacarpals

A

V notches and proximal edges

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11
Q

DRUJ

A

extensor digiti minimi points to this joint

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12
Q

lister’s tubercle

A

prominent bump on radius
in line with 2nd MC

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13
Q

scaphoid

A

anatomical snuffbox

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14
Q

trapezium

A

between scaphoid and base of 1st MC

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15
Q

trapezoid

A

between scaphoid and 2nd MC

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16
Q

capitate

A

divot proximal to 3rd MC

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17
Q

lunate

A

proximal to capitate, prominent in wrist flexion

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18
Q

hamate

A

proximal to 4th and 5th MC

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19
Q

triquetrium

A

proximal to hamate

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20
Q

pisiform

A

prominent base of ulnar side
FCU points to it

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21
Q

hook of the hamate

A

between pisiform and 2nd MCP joint, 2cm up

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22
Q

scaphoid tubercle

A

base of the thenar eminence
FCR points to it

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23
Q

trapezium tubercle

A

1 cm distal to scaphoid tubercle
protrudes in ulnar dev

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24
Q

capitate

A

halfway between hook of hamate and trapezium tubercle

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25
Q

lunate

A

halfway between pisiform and radial styloid

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26
Q

wrist flexion ROM

A

stationary: ulnar styloid to olecranon
fulcrum: lateral to triquetrium
movement: parallel with 5th MC

0-80

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27
Q

wrist extension ROM

A

stationary: ulnar styloid to olecranon
fulcrum: lateral to triquetrium
movement: parallel with 5th MC

0-70

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28
Q

wrist ulnar deviation

A

stationary: lateral epicondyle
fulcrum: capitate
movement: parallel with 3rd MC

0-30

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29
Q

wrist radial deviation

A

stationary: lateral epicondyle
fulcrum: capitate
movement: parallel with 3rd MC

0-20

30
Q

2-5 MCP flexion

A

stationary: dorsal midline of MC
fulcrum: dorsal aspect of MCPJ
movement: dorsal midline of proximal phalanx

90

31
Q

2-5 PIP flexion

A

stationary: dorsal midline of prox phalanx
fulcrum: dorsal aspect pf prox IPJ
movement: dorsal midline of middle phalanx

100

32
Q

2-5 DIP flexion

A

stationary: dorsal midline of prox phalanx
fulcrum: dorsal aspect pf prox IPJ
movement: dorsal midline of middle phalanx

100

33
Q

2-5 MCP extension

A

stationary: palmar midline of MC
fulcrum: palmar aspect of MCPJ
movement: palmar midline of proximal phalanx

45

34
Q

2-5 PIP extension

A

stationary: palmar midline of prox phalanx
fulcrum: palmar aspect pf prox IPJ
movement: palmar midline of middle phalanx

0

35
Q

2-5 DIP extension

A

stationary: palmar midline of prox phalanx
fulcrum: palmar aspect pf prox IPJ
movement: palmar midline of middle phalanx

10

36
Q

2-5 MCP abd

A

stationary: dorsal midline of MC
fulcrum: dorsal aspect MCPJ
movement: dorsal midline of proximal phalanx

20

37
Q

1st MC flexion

A

stationary: ventral midline of radius
fulcrum: palmar aspect of 1st CMCJ
movement: ventral midline of 1st MC

find baseline and subtract from final measurement

15 deg

38
Q

1st MC extension

A

stationary: ventral midline of radius
fulcrum: palmar aspect of 1st CMCJ
movement: ventral midline of 1st MC

find baseline and subtract from final measurement

15 deg

39
Q

1st MC abd

A

stationary: lat midline of 2nd MC
fulcrum: lat aspect of radial styloid
movement: lat midline of 1st MC

70 deg

40
Q

1st MCP flexion

A

stationary: dorsal midline of fist MC
fulcrum: dorsum of 1st MCPJ
movement: dorsal midline of proximal phalange

50 deg

41
Q

1st IP flexion

A

stationary: dorsal midline of prox phalanx
fulcrum: dorsal surface of IPJ
movement: dorsal midline of distal phalange

80 deg

42
Q

1st IP extension

A

stationary: dorsal midline of prox phalanx
fulcrum: dorsal surface of IPJ
movement: dorsal midline of distal phalange

20 deg

43
Q

wrist flexion 3-5

A

hand on table
median nerve: pull 1-3 into extension
ulnar nerve: pull 4-5 into extension

44
Q

wrist extension 3-5

A

hand on table
pull into flexion

45
Q

wrist flex/ext 0-2

A

hand on side

46
Q

2-5th MCP flexion 3-5

A

palm up on table
pull into ext
resistance on proximal phalnges

47
Q

2-5th MCP extension 3-5

A

palm down on table
make a claw
resistance into flexion on prox phalange

48
Q

2-5th MCP flex/ext 0-2

A

hand on side
can they do it?

49
Q

2-5th MCP abduction 0-5

A

palm down on table
resistance into adduction

50
Q

2-5th MCP adduction 0-5

A

palm down on table
resistance into abduction

51
Q

2-5th prox IP flexion 3-5

A

palm up
resistance into extension on middle phalange

52
Q

2-5th distal ip flexion 3-5

A

palm up
resistance into extension on distal phalange

53
Q

2-5th PIP/DIP flexion 0-2

A

hand on side
can they do it?

54
Q

1st CMC abduction 0-5

A

baby shark hand, moth open
resistance into adduction on proximal phalange for brevis
resistance into adduction on metacarpal for longus

55
Q

1st CMC adduction 0-5

A

baby shark, mouth closed
resistance into abduction on prox phalanx

56
Q

1st CMC opposition 0-5

A

thumb and pinky together
pull thumb and pinky apart at MCs

57
Q

1st MCP flexion 0-5

A

palm up
resistance into extension on proximal phalanx

58
Q

1st MCP extension 0-5

A

palm up
resistance into flexion on proximal phalanx

59
Q

1st IP flexion 0-5

A

palm up
resistance into extension on distal phalanx

60
Q

1st IP extension 0-5

A

palm up
resistance into flexion on distal phalanx

61
Q

wrist posterior (dorsal) glide

A

pt hand to side
PT palms down on either side of joint
push pt hand posterior

helps flexion

62
Q

wrist anterior (palmar) glide

A

pt hand to side
PT palms down on either side of joint
push pt hand anterior

helps extension

63
Q

wrist ulnar glide

A

pt palm up
PT palms down on either side of joint
push pt hand ulnarly

helps radial deviation

64
Q

wrist radial glide

A

pt palm up
PT palms down on either side of joint
push pt hand radially

helps ulnar deviation

65
Q

specific carpal bone posterior glide

A

pt hand off table
push carpal downward

66
Q

trapeziometacarpal joint posterior glide

A

push 1st MC backwards

67
Q

carpometacarpal joints 2-5 posterior glide

A

pt palm down
push MC up

68
Q

MCP joints 1-5 glides

A

pt palm down
push proximal phalanx up

69
Q

IP joints 1-5 glides

A

pt palm down
push distal phalanx up

70
Q

ulnar collateral ligament test

A

valgus at thumb

+ movement greater than 30 deg

71
Q

watson scaphoid test

A

push on scap, into ulnar dev, let go
push on scap, into radial dev, let go

+ clunking sound when letting go

72
Q

ulnomeniscotriquetral dorsal glide

A

thumb on ulna, index finger on pisiform
dorsal glide on pisiform by squeeing thumb and index

fall B 2024 (19 decks)

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