Elbow,Wrist,Hand

Question 1

Causes release of chemotactic Agents

Answer 1

Inflammation

Question 2

Chemotaxis causes

Answer 2

Vasodilation

Question 3

Increases interstitial fluid, macrophages, activates fibroblasts, block drainage

Answer 3

Vasodilation

Question 4

Characterized by exuberant fibrous tissue, loss of elasticity, scarring

Answer 4

Chronic inflammation

Question 5

Sensory function of hands

Answer 5

exploration
Fine touch
Temp
Stereognosis
Protective sensation

Question 6

Motor functions of hand

Answer 6

Grasp and grip

Question 7

Healing requires immobilization

Rehab requires motion

Answer 7

Therapy paradox

Question 8

Percussion over irratated area of peripheral nerve elicit electrical sensation distally

Answer 8

Tinel sign

Question 9

Wrist flexion increase compression of median nerve at wrist

Answer 9

Phalens test

Question 10

Acute or chronic compression of median nerve

Answer 10

Carpal Tunnel Syndrome

Question 11

Symptoms of carpal tunnel

Answer 11

Numbness
Tingling
Night pain

Question 12

Complications of Carpal tunnel release surgery

Answer 12

Scar hypersensitivity

Question 13

What runs through listers tubercle

Answer 13

Extensor Pollicus longus

Question 14

Entrapment and inflammation of tenosynovium of extensor tendons to the thumb

Answer 14

deQuervains tenosynovitis

Question 15

What are signs of deQuervain’s disease

Answer 15

Tenderness at 1st dorsal compartment of wrist

+finkelstein test (passive)

Question 16

Tx for deQuervains

Answer 16

Rest
Heat and antiinflammatories
Splint
Injection
Surgery

Question 17

Pinning and internal fixation of hand fractures allow

Answer 17

Controlled mobilization of uninvolved joints but doesnt stabalize fragments

Question 18

External fixator allows

Answer 18

Immediate skin and edema care

Joint mob @ 4 weeks post

Question 19

Will S-L ligament tear heal?

Answer 19

Naww

Question 20

OA of CMC joint of thumb

Answer 20

Basilar Joint Arthritis

Question 21

Functional ROM of elbow

Answer 21

30-130 degrees

Question 22

50% of hand strength comes from

Answer 22

Forarm muscles

Question 23

Fractures of necessity are fractures that

Answer 23

Require surgical fixation

Question 24

Most common elbow fx and cause

Answer 24

Radial head

Indirect force from fall on hand

Question 25

Displaced articular fractures limit _____ and cause ______

Answer 25

Motion

Arthritis

Question 26

What to avoid for radial head Fx.

Answer 26

Capsule adhesions and joint contracture

Question 27

In contractures,

Forceful manipulation ____ tissues and promotes

Answer 27

Tears

Heterotopic bone

Question 28

Tear of extensor muscle origin at lateral epicondyle

Answer 28

Lateral epicondylitis