day nine: tendinopathies

Question 1

dequervain’s tenosynovitis

Answer 1

inflammation of tendonosis of the sheath of the tendons in the first extensor compartment

Question 2

dequervain’s s/s

Answer 2

pain on the radial side of the thumb when pinching or grasping objects

Question 3

what do you rule out first for the dequervains

Answer 3

CMC arthritis of the 1st MCP jt

Question 4

how many extensor compartments

Answer 4

SIX

Question 5

list the amount of tendons in each compartment:

Answer 5

2
2
1
2
1
1

Question 6

dequervain’s frequently results form

Answer 6

repetitive motion

Question 7

first dorsal extensor compartment is

Answer 7

abductor pollicus longus

extensor pollicus brevis

Question 8

how do you diagnosis dequervain’s tenosynovitis

Answer 8

positive finkelstein’s test

Question 9

what are four things to look for dequervain’s

Answer 9

positive finkelsteins’ test
pain along first dorsal compartment
decreased pinch and grip
a nodule or thickening of the extensor retinaculum

Question 10

dequervain’s treatments include:

1 -4

Answer 10

conservative
splint
modalities
surgical

Question 11

dequervain’s conservative

Answer 11

cryotherapy verses heat
thumb spica splint
pt education on activity modification

Question 12

medical management

Answer 12

NSAIDS
Corticosteroid injection
surgical intervention

Question 13

when should you initiate therapy post surgical theory dequervain’s tenosynovitis?

Answer 13

10 days post op

Question 14

how many weeks after post surgery can you start strengthening exercises as well as fx use of the hand: DT

Answer 14

3-4 weeks

Question 15

once suture removed you should start

Answer 15

scar mobilization initiated

Question 16

intersection syndrome def:

Answer 16

tenosynovitis of second dorsa compartment where the first compartment crosses it in the radial dorsal 4 arm

Question 17

APL EPB cross the

Answer 17

ECRL and ECRB

Question 18

three tx for intersection syndrome:

Answer 18

thumb splint
pt education
surgical

Question 19

acute tx of intersection syndrome

Answer 19

RICE

ice massage cold packs ultra sound iontophoresis cross friction massage ASTYM

Question 20

chronic tx of tenonosis

Answer 20

HEAT

- different from acute

Question 21

impingement can come from:

Answer 21

forward shoulder 
scapular dyskinesia
tight pectoralis minor 
weak serratus anterior 
sleeping posture

Question 22

what happens with shoulder impingement:

Answer 22

long head of the biceps gets inflamed from repetitive reaching or being “pinched”

Question 23

supraspinatus can also be impinged by

Answer 23

the reduced subacromal space

Question 24

cross friction massage:

Answer 24

technique that promotes optimal collagen healing by increasing circulation and decreaseing collage cross-linking, thus decreasing the formation of adhesions and scar tissue

Question 25

cross friction massage produces

Answer 25

traumatic hyperemia and a histamine response to help flush the area of substance P

Question 26

IASTM means

Answer 26

instrument assisted soft tissue mobilization