Fingers Flashcards
1
Q
Mallet finger
A
Avulsion of ext tendon
MOI: passive DIP flex w/ resisted Ext,
Ax: distal PIP tenderness, can’t extef DIP joint and droop of distal phalanx
Mx: conservative preferred= effective up to 3mths post injury
- immobilise DIP in 5-15 DIP HEX for 6-8wks
- PIP joint free, unless swan neck deformity
Therapy: splint continuous for 6-8 wks, then gentle active flex
2
Q
Central slip Avulsion
A
Avulsion of central slip at P2
Injury: forced flex of PIP joint or direct laceration
Needs splint immobilisation
3
Q
Nerve Laceration
A
0-3/4 wks: splinted in protected position
3/4+wks: gradual active regaining of FROM, sensory re-education, prx of joint contracture
4
Q
Median Nerve- Low lesion
A
Muscles= FPB, OPI ABP, Lumbricals l &ll Position: Ape hand Inability to oppose hands Loss of web space Inability to perform chuck pinch Decreased power grip
5
Q
Ulnar Nerve- Low lesion
A
Muscles: ADM, FDM, ODM, interossei, lumbricals ring and little, AP, FPB deep head. Claw hand Loss of lateral pinch- Froments sign Decreased power grip Flattened metacarpal arch
6
Q
Crush injuries
A
- Main complication= oedema control+++
- Pain- ensure adequate analgesia
- If stiff (exercise, heat, splint)
- Gradual strength and endurance work
7
Q
Amputations
A
-Wound Mx, edema control, stump shaping, hand and finger ROM , scar Mx, desensitisation, function
8
Q
DeQuervain’s Tenosynovitis
A
MOI:
