EWH misc

Question 1

What are the most common radial nerve compression sites?

Answer 1

Fibrous bands connecting the brachial is and brachioradialis
Under blood vessels at radial neck
Medial proximal ECRB
Fibrous bands at prox and distal supinator most common

Question 2

Most come entrapment sites of AIN

Answer 2

Tendon origin of FDS
Accessory head of FPL
Tendon origin of pronator teres

Question 3

Most common entrapment sites for the ulnar nerve

Answer 3

Cubital tunnel
Guyon canal (between pisiform and hook of hamate)

Question 4

Keinbocks disease is osteonecrosis of______ and advanced stages could lead to____(3)

Answer 4

The lunate;
Carpal collapse, Joint incongruity, Osteoarthritis

Question 5

Keinbock’s Disease can be treated conservatively by casting for____ weeks

Answer 5

6-10

Question 6

List the Common hand/wrist deformities associated with RA

Answer 6

Ulnar drift! Boutonniere deformity,Swan neck deformity, mallet finger

Question 7

Describe boutonnière deformity

Answer 7

Rupture of the central band of the common extensor tendon that inserts on base of middle phalanx is damaged leads to flexed PIP and extended MCP and DIP

Question 8

Describe treatment for boutonnière deformity

Answer 8

6-8 weeks of immobilization
PIP held in full extension with DIP and MCP free to move
Gentle ROM can begin 4-8 weeks with splint reapplied between exercises
Strengthening usually begins around 10-12 weeks

Question 9

Describe swan neck deformity (least functional )

Answer 9

Disruption of the volar plate at the
PIP joint Characterized by flexion at DIP and hyperextension at PIP

Question 10

Describe the treatment for swan neck deformity

Answer 10

If there is no loss of PIP joint flexion treatment typically is conservative through splinting

Question 11

What is the cause of mallet finger?

Answer 11

Rupture or avulsion of extensor tendon at its insertion into distal phalanx of a digit

Question 12

What factors increase the likelihood of dupuytren’s contracture

Answer 12

Alcoholism,Diabetes, Epilepsy, Tobacco dependence

Question 13

What are the risk factors for trigger finger

Answer 13

Diabetes mellitus! Rheumatoid arthritis, Female genderRepeated gripping

Question 14

What are 3 main referral patterns for myofascial pain syndrome

Answer 14

Supinator-lateral epi and posterior web of 1st and 2nd
Triceps Brachii-medial elbow,forearm,hand
Forearm flexors and extensors-