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
colle's fracture
foosh, distal radius fracture
26
What is Volkman's ischemic compression
Swelling that engulfs the compartment
27
How long can muscle tolerate ischemia
6 hours but doesn't regenerate
28
What is normal intercompartment pressure
0-8 mmhg
29
What compartment pressure indicates that decompression is needed
30-40 mmhg
30
How long is the incision open after decompression of Volkman's ischemic compression
7-10 days
31
TOS causes pathology to what
Whole arm and hand
32
Median nerve compression causes pathology to what
Sensory and motor to forearm and hand
33
Anterior interosseous compression causes pathology to what
Motor in forearm and hand
34
Ulnar nerve compression causes pathology to what
Sensory and motor in hand
35
Congenital anomalies of the wrist and hand should be surgically repaired when
Before 1 year due to the development of the grasp
36
What is the 2 main causes of infection in the hand
Staphylococcus aureus and streptococcus
37
What are the percents of infection due to staph aureus and strep
Staph Aureus: 50-80% | Strep: 15%
38
What X-Ray view best images the scaphoid
Oblique view