Forearm/Wrist/Hand / 3 Flashcards

0
Q

occurs most commonly in flexor compartment of forearm and the anterior tibial compartment of the leg

A

volkmann’s ischemic compression compartment

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1
Q

peripheral nerves can tolerate up to blank hours of tissue ischemia

A

2-4

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2
Q

volkmanns ischemic compression will present severe pain which follow initial pain free period when muscle is losing blank

A

circulation

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3
Q

blank and blank to the touch are presentations of volkmanns ischemic compression

A

parasthesia/coolness

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4
Q

this is vulnerable at the medial elbow at the cubital tunnel

A

ulnar nerve neuropathy

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5
Q

true compression of the ulnar nerve will cause blank losses

A

motor and sensory

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6
Q

median nerve entrapment is blank and due to blank

A

rare, entrapment

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7
Q

median nerve entrapment presents with blank deficit

A

sensory/motor

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8
Q

disorder resulting from compression of the median nerve in the carpal tunnel

A

carpal tunnel

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9
Q

carpal tunnel is most common in blank

A

middle aged women

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10
Q

webbing of the fingers

A

syndactyly

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11
Q

soft painful mass at wrist tenosynovitis, inflammation and damage leading to instability of intracarpal ligaments is characteristic of blank

A

rheumatoid arthrits

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12
Q

ra can involve all joints of blank

A

thumb

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13
Q

osteophyte formation at dorsal aspect of IP joints is characteristic of blank

A

osteoarthritis

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14
Q

excessive thickening of tendon sheath

A

stenosing tenosynovitis

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15
Q

trigger thumb causes inability to blank finger and may be accompanied by a blank

A

extend, snapping sound

16
Q

keinboch’s deformity is

A

avascular necrosis of lunate

17
Q

treatment of keinbochs deformity

A

fusing carpals

18
Q

madelungs deformity

A

bowing of radius abnormally

19
Q

mallet finger

A

dip flexion

20
Q

mallet finger is aka blank and is when blank ruptures from blank

A

baseball finger, extensor, distal phalanx

21
Q

this may require decompression by drilling hole in finger nail to relieve pressure and pain

A

subungual hematoma

22
Q

middle and proximal phalangeal fractures are blank compared to distal ones

A

much more serious

23
Q

undisplaced middle or proximal phalangeal fracture requires a double blank whereas displaced requires a blank

A

finger splint, wrist splint

25
Q

colle’s fracture

A

foosh, distal radius fracture

26
Q

What is Volkman’s ischemic compression

A

Swelling that engulfs the compartment

27
Q

How long can muscle tolerate ischemia

A

6 hours but doesn’t regenerate

28
Q

What is normal intercompartment pressure

A

0-8 mmhg

29
Q

What compartment pressure indicates that decompression is needed

A

30-40 mmhg

30
Q

How long is the incision open after decompression of Volkman’s ischemic compression

A

7-10 days

31
Q

TOS causes pathology to what

A

Whole arm and hand

32
Q

Median nerve compression causes pathology to what

A

Sensory and motor to forearm and hand

33
Q

Anterior interosseous compression causes pathology to what

A

Motor in forearm and hand

34
Q

Ulnar nerve compression causes pathology to what

A

Sensory and motor in hand

35
Q

Congenital anomalies of the wrist and hand should be surgically repaired when

A

Before 1 year due to the development of the grasp

36
Q

What is the 2 main causes of infection in the hand

A

Staphylococcus aureus and streptococcus

37
Q

What are the percents of infection due to staph aureus and strep

A

Staph Aureus: 50-80%

Strep: 15%

38
Q

What X-Ray view best images the scaphoid

A

Oblique view