Hand Fractures and Deformities Flashcards
Avulsion injuries occur when
the tendon separates from the bone and its insertion and removes
bone material with the tendon.
Mallet finger
avulsion of the terminal tendon and is splinted in full extension for 6 weeks.
Boutonniere deformity is disruption of the
central slip of the extensor tendon characterized by proximal interphalangeal (PIP) flexion and distal interphalangeal (DIP) hyperextension; the PIP is splinted in extension, and isolated DIP flexion exercises are performed.
Swan neck deformity
is injury to the metacarpophalangeal (MCP), PIP, or DIP joints characterized by PIP hyperextension and DIP flexion; the PIP is splinted in slight flexion. Literally looks like a swan
Median nerve injury produces carpal tunnel–like symptoms, such as
palmar numbness and numb-
ness of first digit to half of the fourth digit, with generalized weakness and pain.
Ulnar nerve injury results in
ulnar claw deformity and numbness of the ulnar side of the hand and the fifth and half of the fourth digits, with generalized weakness of the ulnar side of the hand and
pain.
Outcomes for hand injury are assessed using the ____ before and after therapy.
Quick DASH
Orthotic fabrications can be used as ______ for safe splinting and functional splinting.
prescribed by the physician
What types of orthotics are commonly used to provide support for healing structures.
Thermoplastic and casting orthoses
Modalities for pain relief and tissue healing with hand fractures include
heat, ultrasound, cryotherapy, paraffin, and transcutaneous electrical nerve stimulation (TENS).
_____ provide motion to further enhance performance and function to ultimately improve ADL performance.
Therapeutic exercises
Controlled AROM begins ____ weeks after fracture if fixation is stable.
3–6
Home programs enable the client to
continue safe exercises at home between therapy sessions to ensure continued progress toward goals.
The most severe complication of hand fractures is ____ .
complex regional pain syndrome
