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MS 1 > Hand and Wrist > Flashcards

Hand and Wrist Flashcards

1
Q

what type of joint is the distal radioulnar joint?

A

pivot joint

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2
Q

what type of joint is the radiocarpal joint?

A

diarthrodial ellipsoid

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3
Q

open packed position of wrist

A

10 degrees of wrist flexion w/ slight ulnar deviation

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4
Q

closed packed position of wrist

A

extension w/ radial deviation

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5
Q

CPR of wrist

A

limited flex>ext

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6
Q

closed packed position of midcarpal

A

extension with ulnar deviation

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7
Q

CPR of midcarpal joints

A

limited flex>ext

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8
Q

closed pack position of intercarpal joints

A

extension

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9
Q

CPR of thumb

A

limited abduction and slight limitation of extension

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10
Q

closed pack position of thumb

A

full opposition

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11
Q

open packed position of thumb

A

mid range between abduction/adduction and flex/ext

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12
Q

CPP of MCP/IP joints

A

MCP full flexion, IP full extension

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13
Q

test for carpal tunnel

A

Tinel’s sign, phalen’s test

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14
Q

describe tinel’s sign

A

tap over carpal tunnel for 20 sec. is there N/T or pain in median nerve distal to point of tapping?

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15
Q

phalen’s test

A

prayer hands or reverse prayer hands, hold for 60 sec. pos. if N/T occurs w/in 45-60 sec. compresses med. nerve

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16
Q

Finkelstein’s test tests which tendons for which syndrome?

A

APL and EPB for DeQuervain’s tenosynovitis.

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17
Q

What is froment’s sign and what does it indicate?

A

inability to graps a piece of paper between your thumb and the side of the proximal phalanx of your pointer finger without flexing the IP joint of your thumb, its a sign of ulnar neuropathy

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18
Q

why does froment’s sign indicate ulnar neuropathy

A

bc its an inhibition sign of adductor pollicis which is innervated by the ulnar nerve.

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19
Q

What does a positive allen’s test indicate?

A

insufficient ulnar or radial AA performance, or reynauds syndrome if both are insufficient``

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20
Q

How is a Watson’s sign found?

A

a.k.a scaphoid shift test, pt passively moved from UD to RD with arm pronated and scaphoid stabilized, + Watson’s sign= dosral movement of bones, clunk or pain

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21
Q

what does a + Watson’s sign indicate?

A

scaphoid-lunate deviation

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22
Q

Distal radioulnar joint:

pronation

A

volar

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23
Q

distal radioulnar joint supination

A

dorsal

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24
Q

radiocarpal joint: flexion

A

dorsal

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25
Q

radiocarpal joint: extension

A

volar

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26
Q

radiocarpal joint: ulnar deviation

A

radial glide

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27
Q

radiocarpal joint: radial deviation

A

ulnar glide

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28
Q

CMC joint: flexion extension

A

volar (ulnar)/dorsal (radial) glides

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29
Q

CMC joint: adduction/abduciton

A

volar and dorsal glide?

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30
Q

carpal tunnel compresses what nerve

A

median N.

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31
Q

what is a classic sign of carpal tunnel

A

“shakes out” their hand

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32
Q

PT tx of capral tunnel?

A

rest, ergonomics, ice, LILT, manual therapy, stretching, US, splinting, median N glides

33
Q

colles fracture diplaces in which direction?

A

dorsally

34
Q

a colles fracture occurs in which bone?

A

distal radius, transverse fracture

35
Q

which fracture is also known as the dinner fork deformity?

A

colles fracture

36
Q

how does a colles fx occur?

A

FOOSH

37
Q

tx for colles fx

A

surgery, casting, strength and ROM when out of cast

38
Q

what causes claw deformity

A

ulnar neuropathy

39
Q

what is it called when there is abduction of the 5th digit secondary to ulnar neuropathy

A

Wartenburg’s sign

40
Q

OE of ulnar neuropahty

A

dec. grip strength, claw and wartenburg’s deformity

41
Q

tx of ulnar neuropathy

A

ulnar glides, ROM, strength of hand and wrist, cervical and elbow ROM

42
Q

CRPS: type 1

A

abnormal reaction of the sympathetic nervous system following an injury, trauma or surgery

43
Q

tx for CRPS

A

desensitization, ther ex

44
Q

TFCC

A

triangular fibrocartilage disc injury.

45
Q

where is the triangular disc?

A

between triquetrum and distal ulna

46
Q

TFCC causes?

A

compression on UD wrist, FOOSH, overuse of repetetive twisting w/ palmar rotation

47
Q

tx of TFCC?

A

immobilize first, then wrist ROM, inc. circulation, improve circulation

48
Q

TFCC S&S

A

piano key,

49
Q

What is DeQuervain’s associated with?

A

pregnancy and RA

50
Q

tx for DeQuervain’s

A

friction message, rest from UD/RD, spica splint

51
Q

Gyon’s canal in entrapment of which nerve?

A

ulnar nerve

52
Q

where is guyon’s canal?

A

tween pisoform and hamate

53
Q

guyon’s canal syndrome S&S?

A

N/T in the medial half of 4th digit and whole 5th digit, froment’s sign and thenar emincence atrophy

54
Q

causes of guyon’s canal

A

biking, using crutches, vibrations (like when jackhammering)

55
Q

cause of raynaud’s phenomenon

A

constritcion of small blood vv in hands and feet via reversible vasospasm

56
Q

test for raynauds

A

allen’s test

57
Q

tx for raynaud’s

A

exercise to inc. blood flow, vasodilators, lifestyle changes (stop smoking, etc. )

58
Q

Duputryen’s contracture

A

abnormal thickening of palmar and digital fascia of 4th and 5th digits

59
Q

Causes of duputryen’s

A

alcoholism, diabetes, elipesy, idiopathic

60
Q

tx for duyptryen’s

A

friction massage, stretching, sx and injections

61
Q

smith’s fx, a.k.a…

A

“reverse colles fx”, fx of distal radius w/ volar displacement

62
Q

MOI of smith’s fx?

A

fall onto back of flexed hand…

63
Q

boxer’s fx

A

5th MC

64
Q

MOI lunate dislocation

A

fall on extended hand causes lunate to become displaced between capitate and radius

65
Q

tx of lunate dislocation

A

surgical reduction, immobilization 3-4 wks, limit wrist extension 2 months.

66
Q

complications of lunate dislocation

A

AVN comprimise, median nerve injury

67
Q

Bennett fx

A

base of 1st MC

68
Q

what fx is karma for losing your temper and punching a wall

A

bennett’s fx

69
Q

Other MOI for bennett’s fx

A

falling onto your thumb

70
Q

mallet finger (Lou’s finger) is an avulsion of which tendon?

A

extensor digitorum longus tendon from the distal phalanx, leaving the DIP always flexed and unable to extend

71
Q

MOI scaphoid fx

A

FOOSH, direct trauma

72
Q

S&S scaphoid fx

A

dorsal wrist pain

73
Q

where is there pain with palpation in the case of a scaphoid fx

A

over the anatomical snuff box

74
Q

complications with scaphoid fx?

A

non-union of bone, bone necrosis

75
Q

Keinbock’s disease

A

osteonecrosis/avascular necrosis of lunate following a fx

76
Q

tx of keinbock’s disease

A

thermal modalities to inc. revascularization, ROM/glides

77
Q

Gamekeeper’s/Skier’s thumb is a sprain of which ligament?

A

ulnar collateral ligament of 1st MCP joint

78
Q

what injury to you get from hyperextension/abduction of thumb?

A

Gamekeeper’s/Skier’s thumb

79
Q

tx of gamekeeper’s thumb

A

taping, possible sx. strengthening

MS 1 (11 decks)

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