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Phys Dys > Hand/UE Disorders > Flashcards

Hand/UE Disorders Flashcards

1
Q

What is dupuytrens?

A

Disease of fascia of palms and digits

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2
Q

What is ruptured in skier’s (gamekeepers) thumb?

A

Ulnar collateral ligament

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3
Q

What mvmnt and type of strength should ADLs require for a pt with skier’s thumb?

A

Opposition and pinch strength

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4
Q

What type of splint for pt with skiers thumb? For how long?

A

Thumb splint. 6 weeks.

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5
Q

What type of fracture may cause CRPS?

A

Colles fx

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6
Q

What interventions to avoid/proceed with caution with CRPS

A

Passive ROM/stretching, joint mobilization, dynamic splinting and casting

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7
Q

What type of splint for pt with boxers fx?

A

Ulnar gutter splint

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8
Q

Fx of greater tuberosity often results in what type of injury?

A

Rotator cuff

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9
Q

Humeral shaft fx result in what injury?

A

Radial nerve - wrist drop

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10
Q

When can therapist work on AROM prior to fx?

A

4-8wk/when approved by physician (humeral fx is an exception)

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11
Q

What test used for de Quervains?

A

Finkelsteins

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12
Q

Splint for de Quervains?

A

Thumb spica (IP free)

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13
Q

Splint for lateral/medial epicondylitis

A

Elbow strap & wrist splint

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14
Q

Kleinert protocol uses what type of splint?

A

Dorsal blocking

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15
Q

Median nerve compression results in?

A

CTS (carpal tunnel)

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16
Q

What are symptoms of CTS?

A

Numbness and tingling of thumb, index, middle and radial half of ring finger

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17
Q

When do para thesis occur with CTS?

A

At night

18
Q

Advanced stages of what syndrome can result in muscle atrophy of thenar eminence ?

A

CTS

19
Q

What are the symptoms of pronator teres syndrome?

A

Same as CTS + proximal forearm aching pain

20
Q

Where is positive tinel’s sign for pronator teres syndrome?

A

At forearm

21
Q

What results from an ulnar nerve compression?

A

Guyons canal

22
Q

Cubical tunnel syndrome results in weakness of what grip?

A

Power grip

23
Q

What results as compression after a humeral fracture?

A

Radial nerve palsy

24
Q

Radial nerve palsy results in?

A

Weakness/paralysis of wrist, MCP, thumb extensors; wrist drop

25
Q

What type of splint for radial nerve palsy?

A

Dynamic extension splint

26
Q

Movements loss from high median nerve laceration

A

Mcp flexion, opposition and abduction of thumb, Flexion of thumb

27
Q

Movements loss with high median nerve laceration

A

Same as low lesion + flexion of tip index finger, middle fingers and thumb, inability to flex to radial aspect of wrist

28
Q

Deformities of median nerve laceration

A

Ape hand (flattening of thenar eminence)
Clawing of hand (low lesion)
Benediction (high lesion)

29
Q

Type of splint for median nerve laceration?

A

C bar

30
Q

Ulnar nerve laceration deformities

A

Claw hand

Froments sign

31
Q

What is loss with radial nerve laceration at axilla ?

A

Triceps (elbow extension)

32
Q

Rotator cuff functions to control what?

A

Head of humerus in glenoid fossa

33
Q

What sleeping posture should be avoided with rotator cuff tendonitis?

A

Sleeping with arm overhead, combined Adduction and internal rotation

34
Q

What diseases are linked to adhesive capsultis?

A

DM and Parkinson’s

35
Q

What movements should be avoided with shoulder dislocation?

A

Combined addiction and external rotation

36
Q

What is used to measure edema?

A

Volumeter or tape measure

37
Q

What is used to measure grip strength?

A

Sphygmomanometer

38
Q

Pt with osteogenesis has decreased what? Symptoms/appearance?

A

Collagen to strengthen bones

Short/small body, barrel chest, triangular face, loose joints, sclera blue/purple, hearing loss. Brittle teeth

39
Q

OT intervention for OI

A

Activity adaption
Environmental adaption
Positioning
Weight bearing to facilitate bone growth

40
Q

In what direction should a residual limb be wrapped ?

A

Distal to proximal

41
Q

How often should compression garment be worn for hypertrophic scar?

A

Daily, 24 hrs. For 1-2 years until scar matured

42
Q

Interventions for a pt with Dupuytrens

A 
Wound care
Edema control
Extension splint (on at all times)
ROM
Scar management

Phys Dys (1 decks)

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