Hand and Wrist Test Flashcards
bennett’s fracture occurrence
occurs at carpometacarpal join of thumb
cause of bennett’s fracture
axial and abduction force to thumb
appearance/symptoms of bennett’s fracture
pain and swelling at base of the thumb; CMC may be deformed
treatment for bennett’s fracture
x-ray to determine if fracture; structurally unstable -> referred to orthopedic surgeon
biker’s palsy cause
repetitive jarring and pressure; repetitive flexion, extension, and ulnar deviation
biker’s palsy
ulnar nerve compression
What does the ulnar nerve pass through?
tunnel of Guyon between pisiform and hamate
biker’s palsy treatment
padding, gloves, NSAIDs, ice
What is boutonneire’s deformity?
rupture of extensor tendon dorsal to middle phalanx
bone passes through central slip
boutonneire’s deformity treatment
cold application, splinting in DIP flexion and PIP extension for 5-8 weeks
boutonneire’s deformity symptoms and signs
point tenderness, inability to extend DIP joint, swelling, severe pain, obvious deformity
deformity in boutonneire’s deformity
forces DIP joint into extension and PIP joint into flexion
boxer’s fracture
fracture at 5th metacarpal
boxer’s fracture cause
direct axial force or compressive force
How is a boxer’s fracture deformity reduced?
splint for 4 weeks
boxer’s fracture sign and symptoms
possible angular or rotational deformity with pain and swelling
boxer’s fracture treatment
RICE, analgesics followed by x-ray
carpal tunnel
compression of median nerve
carpal tunnel treatment
PRICE, NSAIDs, surgery
carpal tunnel signs and symptoms
numbness, Palomar thumb, index, middle fingers, dull ache, weak grip and fingers
deQuervain’s disease
stenosing tenosynovitisi of extensor pollicis brevis and abductor pollicis Longus
deQuervain’s disease signs and symptoms
crepitation, tenderness, strength loss
deQuervain’s disease treatment
RICE, NSAIDs