Hand Impairments Flashcards

1
Q

____ Effect – demonstrates the interconnectedness of digits whereby the limitations of one digit can cause restriction of the uninjured other digits

A

Quadriga

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2
Q

The hands are a organ of _____

A

Expression

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3
Q

There are __ bones in the hand

A

27

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4
Q

There are __ long bones and __ carpal bones

A

19

8

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5
Q

There are ___ intrinsic and about the same amount of ___ that originate in the forearm

A

19

Tendons

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6
Q

The stages of wound healing are?

A

Inflammatory Phase: (hemostasis)
Fibroplasia Phase: (Proliferation and migration)
Maturation or Remodeling Phase:

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7
Q

The inflammatory Phase: (hemostasis) lasts ___, marked by ___ followed by ___ with WBCs migrating to the injured tissue site

A

several days
vasoconstriction
vasodilation

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8
Q

Fibroplasia Phase: (Proliferation and migration) starts ~ day __ & continues __ to __ weeks

A

4

2-6 weeks

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9
Q

The fibroplasia phase is marked by?

A

marked by scar tissue formation & increased collagen fibers -> increased wound tensile strength

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10
Q
  • Maturation or Remodeling Phase: could last for __ with tissue being responsive earlier vs. later
A

years

more

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11
Q

Edema can lead to ____ of the hand

A

Deformity

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12
Q

Tension on extrinsic structures of the hand can cause?

A

Zig-Zag Collapse

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13
Q

Common deformity position

A

Wrist in flexion,
MCP in hyperextension,
PIP and DIPS in flexion,
thumb in Adduction

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14
Q

Common patterns of stiffness, MCPs in ___; IPs in _____

A

MCP’s in Extension

IP’s in Flexion

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15
Q

The Antideformity Position is also Called

A

Intrinsic plus position

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16
Q

Describe the antideformity position

A
  • Wrist in neutral or extension
  • MPs flexed
  • IPs extended
  • Thumb in ABD or opposition
  • Counterforces zigzag collapse
17
Q

Immature scars visual description

A

red/purple and blanch (change color) to touch

18
Q

Mature scars are ___ and ____ , neutral in __ and do not blanch to touch

A

flatter and softer

color

19
Q

Decreased PROM may be due to?

A
  • Tight muscles/tendon
  • Tendon adhesions
  • Joint limitations
  • Capsule, ligament shortening/adhering
  • Mechanical block
20
Q
  • Decreased AROM may be due to:
A
  • Weakness * Adhesions * Disruption of the musculotendinous unit
21
Q
  • If the JOINT is tight then PROM will ____with repositioning of the proximal or distal joints
A

not change

22
Q

If it is Musculotendinous Tightness will __ with repositioning of the proximal or distal joints

A

vary

23
Q

What is a Lag?

A

Limited AROM in joint, but PROM is feasible

24
Q

Four Cardinal symptoms of CRPS

A
    1. pain* 2.stiffness * 3swelling. * 4.discoloration
25
Q

A Boxer’s Fracture is a fracture of

A

4th or 5th transverse neck of Metacarpal Fx

26
Q

Smith Fracture

A

Fracture of distal end of radius is displaced volarly.

Usually from a fall on the dorsal aspect of the wrist

27
Q

The ____ fracture is the most common carpal bone fracture

A

scaphoid

28
Q

Jersey finger is an injury to the ___ Tendon at the ___

A

Flexor Digitorum Profundus

DIP

29
Q

Mallet Finger is an Injury to the ____ Tendon

A

Extensor Digitorum

30
Q

Trigger Finger (Flexor Tenosynovitis)

A
  • Hypertrophy or stenosis of the A1 pulley
  • Strongly associated with Diabetes and RA
  • Present with pain with resisted grip, pain with palpation over A1 pulley, and painful catching or locking of the finger in flexion
31
Q

Dupuytren’s Contracture

A
  • Nodules and cords formation on the palmerdigital fascia of the hand
  • Typically 4th and 5th digit
  • Bands can displace neurovascular bundles and cause soft tissue and joint contractures
  • Cause is unknown
  • Highly associated with Diabetes and RA
32
Q

De Quervain’s Tenosynovitis

A

Tenosynovitis of the Abductor Pollicis Longus (APL) and Extensor Pollicis Brevis (EPB)

  • Run through 1st dorsal wrist compartment
  • Occurs from repetitive thumb hyperabduction or wrist radial deviation
  • Identified by positive Finkelstein’s Test