Hand Impairments

Question 1

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

Answer 1

Quadriga

Question 2

The hands are a organ of _____

Answer 2

Expression

Question 3

There are __ bones in the hand

Answer 3

27

Question 4

There are __ long bones and __ carpal bones

Answer 4

19

8

Question 5

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

Answer 5

19

Tendons

Question 6

The stages of wound healing are?

Answer 6

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

Question 7

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

Answer 7

several days
vasoconstriction
vasodilation

Question 8

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

Answer 8

4

2-6 weeks

Question 9

The fibroplasia phase is marked by?

Answer 9

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

Question 10

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

Answer 10

years

more

Question 11

Edema can lead to ____ of the hand

Answer 11

Deformity

Question 12

Tension on extrinsic structures of the hand can cause?

Answer 12

Zig-Zag Collapse

Question 13

Common deformity position

Answer 13

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

Question 14

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

Answer 14

MCP’s in Extension

IP’s in Flexion

Question 15

The Antideformity Position is also Called

Answer 15

Intrinsic plus position

Question 16

Describe the antideformity position

Answer 16

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

Question 17

Immature scars visual description

Answer 17

red/purple and blanch (change color) to touch

Question 18

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

Answer 18

flatter and softer

color

Question 19

Decreased PROM may be due to?

Answer 19

• Tight muscles/tendon
• Tendon adhesions
• Joint limitations
• Capsule, ligament shortening/adhering
• Mechanical block

Question 20

• Decreased AROM may be due to:

Answer 20

• Weakness * Adhesions * Disruption of the musculotendinous unit

Question 21

• If the JOINT is tight then PROM will ____with repositioning of the proximal or distal joints

Answer 21

not change

Question 22

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

Answer 22

vary

Question 23

What is a Lag?

Answer 23

Limited AROM in joint, but PROM is feasible

Question 24

Four Cardinal symptoms of CRPS

Answer 24

• 1. pain* 2.stiffness * 3swelling. * 4.discoloration

Question 25

A Boxer’s Fracture is a fracture of

Answer 25

4th or 5th transverse neck of Metacarpal Fx

Question 26

Smith Fracture

Answer 26

Fracture of distal end of radius is displaced volarly. | Usually from a fall on the dorsal aspect of the wrist

Question 27

The ____ fracture is the most common carpal bone fracture

Answer 27

scaphoid

Question 28

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

Answer 28

Flexor Digitorum Profundus | DIP

Question 29

Mallet Finger is an Injury to the ____ Tendon

Answer 29

Extensor Digitorum

Question 30

Trigger Finger (Flexor Tenosynovitis)

Answer 30

* 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

Question 31

Dupuytren’s Contracture

Answer 31

* 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

Question 32

De Quervain’s Tenosynovitis

Answer 32

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