hand therapy

Question 1

painful condition affecting tendons on the thumb side of the wrist

*Sticking or stop-and-go sensation of the hand

Answer 1

DeQuervain’s Tenosynovitis

Question 2

• Pain and swelling near base of thumb

* Difficulty moving thumb and wrist that involves grasping or pinching

Answer 2

DeQuervain’s Tenosynovitis

Question 3

Caused by repetitive hand or wrist movements

Answer 3

DeQuervain’s Tenosynovitis

Question 4

In Boutonniere Deformity what is happening with fingers joints and what caused it?

Answer 4

Deformed positon of the hands

PIP is flexed toward palm, DIP is hyperextedned due to rupture of central slip tendon

Question 5

Treatment for Boutonniere Deformity

Answer 5

Splint PIP in extension but allow MP and DIP flexion
ROM exercises
Surgical repair of tendon and other interventions

Question 6

Tendons in wrist and thumb (abductor pollicis longus and extensor pollicis brevis) glide through sheath and connect to the base of the thumb

Answer 6

DeQuervain’s Tenosynovitis

Question 7

Cause of Boutounneire Deformity?

Answer 7

Injury (blow to the finger)
RA
Genetic

Question 8

The sheath around the two tendons thickens and swells and restricts movement through tunnel

Answer 8

DeQuervain’s Tenosynovitis

Question 9

Tests for Boutounneire Deformity

Answer 9

x-ray and Elson’s Test

Question 10

Having this condition will hurt when turning wrist, or grasping and making a fist?

Answer 10

DeQuervain’s Tenosynovitis

Question 11

What test is for DeQuervain’s?

Answer 11

Finkelstein test

Bend thumb across palm of your hand and bend fingers down

Question 12

• Abnormal thickening of the fascia tissue in the palm that can extend to the fingers
• Firm pits, nodules and chords that pull the fingers into flexion at the MP joints
• Usually not painful

Answer 12

Dupuytren’s Contracture

Question 13

Treatment for DeQuervain’s

Answer 13

splinting!

Question 14

Causes of Duputren’s Contacture

Answer 14

Not known

More common in men over 40 and from northern European descent

Question 15

Test for this is Palpitation

Answer 15

Dupuytren’s Contracture

Question 16

*Collagenase injected into the tissue
*Needle aponeurotomy to cut the tissue
Skin graft may be needed
Splinting and hand therapy to maximize and maintain hand position and function

Answer 16

Treatment for Duputren’s Contracture

Question 17

Damage to the ulnar collateral ligament (stretched or torn) of the MP joint (UCL prevents the thumb from being pulled too far away from the hand)

Answer 17

Skier’s/Gamekeeper’s thumb

Question 18

Caused by falling forward and thumb bent backward

Answer 18

Skier’s/Gamekeeper’s thumb

Question 19

Test for this is only x-ray

Answer 19

Skier’s/Gamekeeper’s thumb

Question 20

Treatment for Skier’s/Gamekeeper’s thumb

Answer 20

splint!