Forearm/Wrist/Hand / 3 Flashcards
occurs most commonly in flexor compartment of forearm and the anterior tibial compartment of the leg
volkmann’s ischemic compression compartment
peripheral nerves can tolerate up to blank hours of tissue ischemia
2-4
volkmanns ischemic compression will present severe pain which follow initial pain free period when muscle is losing blank
circulation
blank and blank to the touch are presentations of volkmanns ischemic compression
parasthesia/coolness
this is vulnerable at the medial elbow at the cubital tunnel
ulnar nerve neuropathy
true compression of the ulnar nerve will cause blank losses
motor and sensory
median nerve entrapment is blank and due to blank
rare, entrapment
median nerve entrapment presents with blank deficit
sensory/motor
disorder resulting from compression of the median nerve in the carpal tunnel
carpal tunnel
carpal tunnel is most common in blank
middle aged women
webbing of the fingers
syndactyly
soft painful mass at wrist tenosynovitis, inflammation and damage leading to instability of intracarpal ligaments is characteristic of blank
rheumatoid arthrits
ra can involve all joints of blank
thumb
osteophyte formation at dorsal aspect of IP joints is characteristic of blank
osteoarthritis
excessive thickening of tendon sheath
stenosing tenosynovitis
trigger thumb causes inability to blank finger and may be accompanied by a blank
extend, snapping sound
keinboch’s deformity is
avascular necrosis of lunate
treatment of keinbochs deformity
fusing carpals
madelungs deformity
bowing of radius abnormally
mallet finger
dip flexion
mallet finger is aka blank and is when blank ruptures from blank
baseball finger, extensor, distal phalanx
this may require decompression by drilling hole in finger nail to relieve pressure and pain
subungual hematoma
middle and proximal phalangeal fractures are blank compared to distal ones
much more serious
undisplaced middle or proximal phalangeal fracture requires a double blank whereas displaced requires a blank
finger splint, wrist splint
colle’s fracture
foosh, distal radius fracture
What is Volkman’s ischemic compression
Swelling that engulfs the compartment
How long can muscle tolerate ischemia
6 hours but doesn’t regenerate
What is normal intercompartment pressure
0-8 mmhg
What compartment pressure indicates that decompression is needed
30-40 mmhg
How long is the incision open after decompression of Volkman’s ischemic compression
7-10 days
TOS causes pathology to what
Whole arm and hand
Median nerve compression causes pathology to what
Sensory and motor to forearm and hand
Anterior interosseous compression causes pathology to what
Motor in forearm and hand
Ulnar nerve compression causes pathology to what
Sensory and motor in hand
Congenital anomalies of the wrist and hand should be surgically repaired when
Before 1 year due to the development of the grasp
What is the 2 main causes of infection in the hand
Staphylococcus aureus and streptococcus
What are the percents of infection due to staph aureus and strep
Staph Aureus: 50-80%
Strep: 15%
What X-Ray view best images the scaphoid
Oblique view