Hand and Wrist Test

Question 1

bennett’s fracture occurrence

Answer 1

occurs at carpometacarpal join of thumb

Question 2

cause of bennett’s fracture

Answer 2

axial and abduction force to thumb

Question 3

appearance/symptoms of bennett’s fracture

Answer 3

pain and swelling at base of the thumb; CMC may be deformed

Question 4

treatment for bennett’s fracture

Answer 4

x-ray to determine if fracture; structurally unstable -> referred to orthopedic surgeon

Question 5

biker’s palsy cause

Answer 5

repetitive jarring and pressure; repetitive flexion, extension, and ulnar deviation

Question 6

biker’s palsy

Answer 6

ulnar nerve compression

Question 7

What does the ulnar nerve pass through?

Answer 7

tunnel of Guyon between pisiform and hamate

Question 8

biker’s palsy treatment

Answer 8

padding, gloves, NSAIDs, ice

Question 9

What is boutonneire’s deformity?

Answer 9

rupture of extensor tendon dorsal to middle phalanx
bone passes through central slip

Question 10

boutonneire’s deformity treatment

Answer 10

cold application, splinting in DIP flexion and PIP extension for 5-8 weeks

Question 11

boutonneire’s deformity symptoms and signs

Answer 11

point tenderness, inability to extend DIP joint, swelling, severe pain, obvious deformity

Question 12

deformity in boutonneire’s deformity

Answer 12

forces DIP joint into extension and PIP joint into flexion

Question 13

boxer’s fracture

Answer 13

fracture at 5th metacarpal

Question 14

boxer’s fracture cause

Answer 14

direct axial force or compressive force

Question 15

How is a boxer’s fracture deformity reduced?

Answer 15

splint for 4 weeks

Question 15

boxer’s fracture sign and symptoms

Answer 15

possible angular or rotational deformity with pain and swelling

Question 15

boxer’s fracture treatment

Answer 15

RICE, analgesics followed by x-ray

Question 16

carpal tunnel

Answer 16

compression of median nerve

Question 16

carpal tunnel treatment

Answer 16

PRICE, NSAIDs, surgery

Question 17

carpal tunnel signs and symptoms

Answer 17

numbness, Palomar thumb, index, middle fingers, dull ache, weak grip and fingers

Question 18

deQuervain’s disease

Answer 18

stenosing tenosynovitisi of extensor pollicis brevis and abductor pollicis Longus

Question 19

deQuervain’s disease signs and symptoms

Answer 19

crepitation, tenderness, strength loss

Question 20

deQuervain’s disease treatment

Answer 20

RICE, NSAIDs