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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
lunate
halfway between pisiform and radial styloid
26
wrist flexion ROM
stationary: ulnar styloid to olecranon fulcrum: lateral to triquetrium movement: parallel with 5th MC 0-80
27
wrist extension ROM
stationary: ulnar styloid to olecranon fulcrum: lateral to triquetrium movement: parallel with 5th MC 0-70
28
wrist ulnar deviation
stationary: lateral epicondyle fulcrum: capitate movement: parallel with 3rd MC 0-30
29
wrist radial deviation
stationary: lateral epicondyle fulcrum: capitate movement: parallel with 3rd MC 0-20
30
2-5 MCP flexion
stationary: dorsal midline of MC fulcrum: dorsal aspect of MCPJ movement: dorsal midline of proximal phalanx 90
31
2-5 PIP flexion
stationary: dorsal midline of prox phalanx fulcrum: dorsal aspect pf prox IPJ movement: dorsal midline of middle phalanx 100
32
2-5 DIP flexion
stationary: dorsal midline of prox phalanx fulcrum: dorsal aspect pf prox IPJ movement: dorsal midline of middle phalanx 100
33
2-5 MCP extension
stationary: palmar midline of MC fulcrum: palmar aspect of MCPJ movement: palmar midline of proximal phalanx 45
34
2-5 PIP extension
stationary: palmar midline of prox phalanx fulcrum: palmar aspect pf prox IPJ movement: palmar midline of middle phalanx 0
35
2-5 DIP extension
stationary: palmar midline of prox phalanx fulcrum: palmar aspect pf prox IPJ movement: palmar midline of middle phalanx 10
36
2-5 MCP abd
stationary: dorsal midline of MC fulcrum: dorsal aspect MCPJ movement: dorsal midline of proximal phalanx 20
37
1st MC flexion
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
1st MC extension
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
1st MC abd
stationary: lat midline of 2nd MC fulcrum: lat aspect of radial styloid movement: lat midline of 1st MC 70 deg
40
1st MCP flexion
stationary: dorsal midline of fist MC fulcrum: dorsum of 1st MCPJ movement: dorsal midline of proximal phalange 50 deg
41
1st IP flexion
stationary: dorsal midline of prox phalanx fulcrum: dorsal surface of IPJ movement: dorsal midline of distal phalange 80 deg
42
1st IP extension
stationary: dorsal midline of prox phalanx fulcrum: dorsal surface of IPJ movement: dorsal midline of distal phalange 20 deg
43
wrist flexion 3-5
hand on table median nerve: pull 1-3 into extension ulnar nerve: pull 4-5 into extension
44
wrist extension 3-5
hand on table pull into flexion
45
wrist flex/ext 0-2
hand on side
46
2-5th MCP flexion 3-5
palm up on table pull into ext resistance on proximal phalnges
47
2-5th MCP extension 3-5
palm down on table make a claw resistance into flexion on prox phalange
48
2-5th MCP flex/ext 0-2
hand on side can they do it?
49
2-5th MCP abduction 0-5
palm down on table resistance into adduction
50
2-5th MCP adduction 0-5
palm down on table resistance into abduction
51
2-5th prox IP flexion 3-5
palm up resistance into extension on middle phalange
52
2-5th distal ip flexion 3-5
palm up resistance into extension on distal phalange
53
2-5th PIP/DIP flexion 0-2
hand on side can they do it?
54
1st CMC abduction 0-5
baby shark hand, moth open resistance into adduction on proximal phalange for brevis resistance into adduction on metacarpal for longus
55
1st CMC adduction 0-5
baby shark, mouth closed resistance into abduction on prox phalanx
56
1st CMC opposition 0-5
thumb and pinky together pull thumb and pinky apart at MCs
57
1st MCP flexion 0-5
palm up resistance into extension on proximal phalanx
58
1st MCP extension 0-5
palm up resistance into flexion on proximal phalanx
59
1st IP flexion 0-5
palm up resistance into extension on distal phalanx
60
1st IP extension 0-5
palm up resistance into flexion on distal phalanx
61
wrist posterior (dorsal) glide
pt hand to side PT palms down on either side of joint push pt hand posterior helps flexion
62
wrist anterior (palmar) glide
pt hand to side PT palms down on either side of joint push pt hand anterior helps extension
63
wrist ulnar glide
pt palm up PT palms down on either side of joint push pt hand ulnarly helps radial deviation
64
wrist radial glide
pt palm up PT palms down on either side of joint push pt hand radially helps ulnar deviation
65
specific carpal bone posterior glide
pt hand off table push carpal downward
66
trapeziometacarpal joint posterior glide
push 1st MC backwards
67
carpometacarpal joints 2-5 posterior glide
pt palm down push MC up
68
MCP joints 1-5 glides
pt palm down push proximal phalanx up
69
IP joints 1-5 glides
pt palm down push distal phalanx up
70
ulnar collateral ligament test
valgus at thumb + movement greater than 30 deg
71
watson scaphoid test
push on scap, into ulnar dev, let go push on scap, into radial dev, let go + clunking sound when letting go
72
ulnomeniscotriquetral dorsal glide
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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