Athletic Injuries: Forearm/Wrist/Hand Flashcards
Tinel’s sign
tapping over transverse carpal lig of the carpal tunnel indicates carpal tunnel syndrome of median nerve
Phalen’s test
prayer and reverse prayer pose indicates carpal tunnel syndrome
Valgus/Varus glide stress tests for wrist
applying valgus and varus stress as well as anterior and posterior can determine the presence of a sprain in one of the ligaments that connect the carpal bones
Lunotriquetral Ballotment Test
stabilize the lunate and slide the triquetrum anteriorly and posteriorly to look for laxity determines dislocation of the lunate
Allen’s test
determine function of the radial and ulnar arteries pt has to squeeze and release hand four times
TFCC injury Triangular Fibrocartilage Complex
TFCC separates radiocarpal and inferior radioulnar jx’s, prone to cartilage tears that can result in clicking or catching often torque injury
Wrist tenosynovitis
occurs to the extensor carpi radialis brevis or longus, caused by repetitive wrist accelerations and decelerations
Wrist Tendinits
of the flexor carpi radialis and flexor ulnaris common in wrist flexion activities
Nerve Compression/Entrapment
two most common are of the median nerve in the carpal tunnel and the ulnar nerve in the tunnel of Guyon b’t pisiform and hook of the hamate
Carpal tunnel syndrome
anterorior aspect of the wrist, results from inflammation of the tendons and synovial sheaths that compress the median nerve
De quervain’s syndrome
stenosing tenosynovitis in the thumb tendons= extensor pollicis vrevis and abductor pollicis longus
Lunate dislocation
most commonly dislocated carpal bone, occurs from forceful hyperextension often from FOOSH MOI
Kienbock’s disease
loss of blood supply to the lunate bone resulting in kosteonecrosis
Scaphoid fracture
most frequently fractured carpal bone, FOOSH mechanism, mistaken for sever sprain can fail to heal without proper splintin
Hamate fracture
FOOSH
