Hand Terminology Questions

Question 1

Distal ulnar nerve compression or lesion at the wrist

Answer 1

Claw deformity

Question 2

Evaluation specific to claw deformity

Answer 2

1. Froment’s sign
2. Wartenberg’s sign
3. Jeanne’s sign
4. Semmes Weinstein monofilament test

Question 3

Dorsal blocking splints are used for

Answer 3

1. Claw deformity (postop): maintain wrist 20-30 deg flexion with MCP block at 45 deg flexion to protect nerve repair, splint adjusted at 3-6 weeks to increase wrist position to neutral, discontinue splint at 6 weeks
2. Median nerve injury/ape hand deformity (postop): worn 4-6 weeks, thumb/digit AROM and PROM in splint, tendon gliding, scar massage, discontinue splint at 6 weeks and begin strengthening exercises

Question 4

Static thenar web spacer splint is used for

Answer 4

Median nerve injury/ape hand deformity for nonoperative treatment

Question 5

Tinel’s sign is used for

Answer 5

1. Carpal tunnel syndrome: tap on median nerve at wrist to elicit symptoms
2. Cubital tunnel syndrome: tap on cubital tunnel to elicit symptoms

Question 6

Froment’s sign is used for

Answer 6

1. Cubital tunnel syndrome: flexion of IP thumb joint when lateral pinch is attempted
2. Claw deformity: flexion of IP thumb joint when lateral pinch is attempted

Question 7

Wartenberg’s sign is used for

Answer 7

1. Cubital tunnel syndrome: fifth finger held abducted from fourth finger
2. Claw hand deformity: fifth finger held abducted from fourth finger

Question 8

Jeanne’s sign is used for

Answer 8

1, Claw hand deformity: hyperextension of the thumb MCP

Question 9

Semmes Weinstein monofilament test is used for

Answer 9

1. Claw hand deformity: loss of sensation
2. Carpal tunnel syndrome: loss of sensation

Question 10

Elbow flexion test is used for

Answer 10

1. Cubital tunnel syndrome: holding elbow in flexion for 5 minutes with wrist neutral to elicit symptoms

Question 11

Moberg pickup test is used for

Answer 11

1. Carpal tunnel syndrome: timed test involving picking up, holding, manipulating, identifying small objects
   - used with children, cognitively impaired adults to assess median nerve function

Question 12

Phalen’s test is used for

Answer 12

1. Carpal tunnel syndrome: holding wrist in full flexion for 1 minute to elicit changes in sensation

Question 13

Entrapment of proximal median nerve between heads of pronator muscles

Answer 13

Pronator syndrome

Question 14

Half cast is used for

Answer 14

1. Operative pronator syndrome with AROM all UE joints while wearing cast, muscle strengthening in 1 weeks, full AROM in 8 weeks

Question 15

Peripheral nerve entrapped in more than 1 location

Answer 15

Double crush syndrome

Question 16

Ice massage, ice, towels, cold packs, cold water immersion baths, cool whirlpools, cold compression units, vapocollant sprays are all part of

Answer 16

Cryotherapy: cools tissue to 1-2 cm depth

Question 17

Warm whirlpools, fluidotherapy, hot packs, contrast baths, paraffin baths are all part of

Answer 17

Thermotherapy: heats tissue 1-2cm depth

Question 18

Modalities, devices, techniques to prepare client for occupational performance

Answer 18

PAMS (physical agent modalities)

Question 19

Contraindications for using thermotherapy

Answer 19

Don’t use with
1. Acute inflammation
2. Edema
3. Sensory impairment
4. Cancer
5. Blood clot
6. Infection
7. Cardiac problems
8. Impaired cognition

Question 20

Use of ultrasound to promote absorption of topically applied medication to accelerate tissue repair & decrease inflammation

Answer 20

Phonophoreses

Question 21

Avoid ultrasound with clients who have

Answer 21

1. Pacemakers
2. Cancer
3. Pregnant
4. Bleeding
5. Infection