Hand Complaint

Question 1

What needs palpated?

Answer 1

MCP, PIP, DIP joints and flexor tendons

Question 2

ROM for fingers?

Answer 2

ABduction, ADduction, Grip, circumduction

Question 3

ROM for thumb?

Answer 3

Extension, flexion, opposition, ABduction and ADduction

Question 4

Trigger Finger affects what joint?

Answer 4

Pain, locking, clicking of the MCP joint

Question 5

What causes Trigger finger and what finger is commonly affected?

Answer 5

Thickening of flexor tendon and the ring finger

Question 6

Dupuytren Contracture is caused from?

Answer 6

Fibrosis/thickening of the palmar fascia

Question 7

What can be felt upon exam of a Dupuytren contracture?

Answer 7

Cord-like structure

Question 8

What causes and where is a boxer’s fracture?

Answer 8

Injury or trauma to a closed fist that usually occurs at the neck of the 4th/5th metacarpal
- Pain on the dorsum of the hand

Question 9

Deformity of the MCP/PIP joints through damage to the bone and cartilage from an autoimmune disease

Answer 9

Rheumatoid Arthritis

Question 10

What OMT can be performed on the digits?

Answer 10

Articulatory techniques