Exam 2 Clinical

Question 1

Fracture of the distal radius fragment is displaced posteriorly. Due to a forward fall with an outstretched hand. Clinically referred to as dinner fork deformity. Common in elderly women due to osteoporosis

Answer 1

Colles fracture

Question 2

Fracture of the distal radius, fragment is displaced anteriorly. due to a fall on the back of the hand.

Answer 2

Smith’s fracture

Question 3

Fracture of the fifth metacarpal.

Answer 3

Boxer’s fracture

Question 4

Compression of the median nerve by the pronator Terry’s muscle. Symptoms of carpal tunnel syndrome but also include the forearm.

Answer 4

Pronator Teres syndrome

Question 5

Flexor carpi radialis causing more medial favored flexion of the hand

Answer 5

Ulnar deviation

Question 6

Weakness of the flexor carpi radialis causes more medially favored flexion of the hand

Answer 6

Ulnar deviation

Question 7

Weakness of the flexor carpi ulnar is causes more laterally favored flexion of the hand.

Answer 7

Radial deviation

Question 8

Median nerve damage, causes atrophy of the thenar muscles. The film is held close to the second metacarpal

Answer 8

Ape hand

Question 9

Ulnar nerve damage, cannot fully flexed digits four and five

Answer 9

Claw hand

Question 10

Compression of the ulnar nerve between the pisiform and the hook of the hamate. Cyclist may put pressure on this area with their handlebars.

Answer 10

Guy on’ canal syndrome

Question 11

Inflammation of the Common tendon of origin for all posterior forearm muscles. Patient has pain around lateral epicondyle with radiation down lateral forearm.

Answer 11

Tennis elbow

Question 12

Avulsion fracture of an extensor to a distal phalanx. Causes flexion of the DIP joint and finger resembles a mallet.

Answer 12

Mallet/baseball finger

Question 13

Inflammation of the fibrous sheath, which houses the tendons of abductor pollicus longus & extensor pollicus brevis. Patient complains of pain around level wrist which may radiate up the forearm or down the thumb.

Answer 13

DeQuervain’s disease

Tenosynovitis Stenosans

Question 14

Used to determine the patency of the ulnar in radial artery. Well compressing one of either artery, the patient makes a tight fist to close off the superficial arteries. When the patient opens their hand, normal color should return.

Answer 14

Allen’s test

Question 15

Slipping of the head of the radius from under the annular ligament. May be caused by a sudden pulling of the arm or hand. Arm is healed and pronation, supination causes great pain

Answer 15

Subluxation of the radial head

Nurse maids elbow