Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSPT 1 > Hand and wrist. > Flashcards

Hand and wrist. Flashcards

1
Q

Where do Herberden’s nodes show up?

A

posterior surface of DIP joints.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where do bouchard’s nodes show up?

A

posterior surface of PIP joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some extra things to look for in observation of hand?

A

Herberden and Bouchard’s nodes
Thenar atrophy
Clubbing fingers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are alignment impairments associated with rheumatoid arthritis ?

A

Swans neck
boutonnieres hand
thumb z hand
ulnar drift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

excessive PIP extension and DIP flexion.

A

Swans neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are causes of swans neck?

A
  • synovitis of MCP causing intrinsic spasm

- synovitis of PIP causing lateral restraint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

excessive PIP flexion and DIP extension.

A

boutonniere’s hand.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

thumb positions in MCP flexion and IP extension

A

Thumb Z hand.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

wrist in radial deviation and MCP in ulnar deviation

A

ulnar drift.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what alignment impairments are associated with peripheral nerve injury?

A

ape hand
bishops hand
claw hand
drop wrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

thump MCP in same plane as digits 2-5.. can’t move into opposition

due to

A

ape hand.

median nerve damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

can’t extend IP jt of digit 4 and 5?

A

Bishops hand

ulnar nerve damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

IP of all fingers flexed and mcp hyperextended

A

claw hand.

ulnar and median.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

wrist and fingers position in flexion and cannot extend actively.

A

drop wrist

radial nerve damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Along with hand and wrist ROM you should take

A

shoulder and elbow.

especially in on splint.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

grip strength done with:

men normals:
women normals:

how much grip strength needed for ADLs?

A

dynamometer

102-113 pounds

60-71 pounds.

3-5 lbs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Special tests of hand/wrist

A

Phalens
Tinels
Finkelstein

18
Q

Contracture of palmar fascia.

common area?

A

dupytren’s contracture.

digit 4-5

19
Q

compression of anterior compartment of forearm, resulting occlusion of radial artery and subsequent contracture of long flexors.

A

Volkmann’s ischemic contracture

compartment syndrome.

20
Q

numbness and tingling in radial 3 digits worse at night

A

carpal tunnel syndrome.

21
Q

physical finding of wrist fractures

A

pain with AROM
localized tenderness
Pain with PROM
pain with gripping/ supination.

22
Q

Fall on outstretched arm, with forearm pronated and wrist extended

A

colles fracture.

23
Q

what do patient heal in for college fracture?

A

wrist extension
wrist radial deviation
forearm supination

24
Q

with collet fracture patients may limit ROM in

A

wrist flexion
wrist ulnar deviation
forearm pronation.

25
Q

interventions for college fracture?

A

6 weeks in cast. or surgery if angle is severe.

Tx. address wrist ROM, accessory motion, strength, pain, swelling.

26
Q

> 70% of all carpal fractures

A

scaphoid fractures.

27
Q

___ %Scaphoid Fx. heal with _____

if Dx. delayed, there is risk of

A

90%/early treatment.

malunion/nonunion/avascular necrosis.

28
Q

With is TFCC. how is it characterized and who commonly gets it?

A

triangular fibrocartilage complex tear.

ulnar writ pain and clicking. lunotriquetrial tenderness

common in athletes.

29
Q

how is TFCC Dx? and what is the immediate Tx?

A

MRI or arthrogram

immobilization or surgery.

30
Q

CRPS _____ times more common in what?

A

4x> in women than men.

31
Q

characteristics of CRPS in acute stage?

A
  • burn/ache in “stocking glove distribution”
  • edema
  • warm/dry/red skin
  • Hyperesthesia
32
Q

Characteristics of CRPS in dystrophic stage?

A
  • burn/ache/throbbing pain.
  • edema
  • cool/grey/cyonatic skin
  • slowed hair/nail growth
  • muscle wasting/stiff joints.
33
Q

Characteristic of CRPS in atrophic stage?

A

pain
cool/thin skin
atrophy + contractures.
Severe osteoporosis.

34
Q

management of CRPS?

A

nerve blocks.
sympathectomy
Meds.

35
Q

PT interventions for CRPS

A 
stress loading exercise
Massage
Limb desensitization
Compression garments
Graded motor imagery.
36
Q

3 components of graded motor imagery?

A

1: Laterality: RvsL.
2: Imagery: mental practice
3: Mirror therapy

37
Q

a neuro-rehabilitation technique designed to remodulate cortical mechanisms by using vision to reprogram motor and sensory processes.

A

mirror therapy.

38
Q

Etiology of CPS is _

attributed to

A

unknown.

prolonged typing/ repetitive activity of wrist extension and finger flexion.

39
Q

Characteristics of CPS?

A

numb/tingle/motor loss in area innervated by median nerve.

40
Q

Differential Dx. of Carpal Tunnel Syndrome

A
  • tendinopathy of finger flexor
  • lesion of median nerve proximal to carpal tunnel.
  • double crush injury

MSPT 1 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions