Ch 26 Flashcards
Finkelstein’s test is used for what syndrome?
deQuervain’s syndrome
injury to the TFCC can occur through what motions
forced hyperextension of the wrist
falling on an outstretched hand
where is there pain and what motion is difficult with TFCC?
pain on ulnar side, pain with wrist extension
where does tenosynovitis occur?
extensor carpi radialis longus or brevis
where does tendonitis occur?
flexor carpi radialis, and the flexor ulnars with repetitive wrist flexion
compression of the ulnar nerve and median nerve can cause what?
Claw hand
a palsy of the radial nerve produces what?
drop wrist
a palsy from the median nerve can cause what?
ape hand
which tendons are associated with deQuervain’s syndrome?
extensor pollicis brevis, abductor pollicis longus
what is the most common dislocation of the carpal bone and which direction is it dislocated?
lunate, anteriorly (palmar side)
what is the most frequently fractured carpal bone?
scaphoid
what can improper splinting of the scaphoid result in?
degeneration necrosis aka Preiser’s disease
a rupture of the extensor tendon form the distal phalanx is called what?
mallet finger
a rupture of the extensor expansion dorsal to the PIP joint is called what and how is it splinted?
boutonniere deformity using an Oval-8 splint
a rupture of the flexor digitorum profundus tendon and a loss of ability to flex finger
jersey finger
how is the finger located for a boutonniere deformity?
the DIP is extended and the PIP is flexed
game keeper thumb involves a sprain of what?
UCL ligament of MCP joint
avulsion of the volar plate from the proximal phalanx may cause
pseuboutonniere deformity
occurs in the first metacarpal just distal to the CMC of the thumb as a result of an axial abduction force to the thumb
Bennet’s fracture
this coordinates all voluntary muscle activities and interprets sensory impulses in addition to controlling higher mental functions including memory, reasoning, emotion and intelligence
cerebrum
controls synergic movements of the skeletal muscle and plays a critical role in coordination of voluntary muscular movements
cerebellum
controls sleep posture, respirtation, swalling and the bladder
pons
regulates heart rate, breathing, bp, coughing, sneezing, and vomiting
medulla oblongata
what is the order of the meninges in the brain from closest to the skull to the brain
dura mater, arachnoid mater, and pia mater
true or false: slowly accommodating pupil may indicate cerebral injury
true
what is nystagmus indicate?
possible lesion to posterior fossa to the brain and often involving brainstem or cerebellum
which is a better test to use, Ramberg or BESS?
BESS
what is the rehabilitation stage after a concussion?
1: no activity
2: light aerobic activity
3: sport specific
4: non contact
5: full contact
6: return to play
in cases of repetitive concussion or mild traumatic brain injury it is possible a patient may develop what?
chronic traumatic encephalopathy (CTE)
this occurs because of rapid swelling and herniation of the brain after a second brain injury that occurs before the symptoms of a previous head injury resolve
second impact syndrome
second impact syndrome is likely to occur in what age group?
people less than 20
true or false: second impact syndrome is a life threatening situation that has a 50 % mortality rate?
true
what are the symptoms of an epidural hematoma?
dizziness, nausea, dilation of one pupil usually on same side of injury, sleepiness
acute subdural hematoma is due to what?
arterial bleeding
chronic subdural hematoma is due to what?
venuous bleeding
