Hand/Wrist/Thumb Flashcards

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1
Q

the hand has _____ phalanges, metacarpals, carpals

A

14 phalanges, 5 metacarpals, 8 carpals

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2
Q

carpals (1-8)

A

trapezium, trapezoid, capitate, hamate, pisiform, triquetrum, lunate, scaphoid

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3
Q

the phalanges

A

phalanges consist of 3 bones held together by joints that are enclosed by a joint capsule. the ends of the bones are also covered by cartilage which
contains synovial fluid; this acts as a shock absorber. ligaments join the bones together on both the medial and
lateral sides

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4
Q

extrinsic hand muscles

A

tendons that run across the wrist into the hand

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5
Q

intrinsic hand muscles

A

muscles originating in the hand

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6
Q

what are the three main nerves in the hand

A

radial nerve, median/medial

nerves, ulnar nerve

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7
Q

tendons

A

tendons that go to the fingers are inside tubes that provide lubrication and protection. Tendons on the back of your
hand glide rather than have
a true sheath.

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8
Q

general diagnosis/treatment of hand injuries

A

MOI, palpation, test for sensation/ROM, X-Rays (fractures)

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9
Q

immediate treatment of hand injuries

A

RICE, supportive splint, supportive taping, cast if a fracture has occurred

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10
Q

the wrist is bound by ______

A

a network of large, strong ligaments known as the palmar and dorsal radiocarpal ligaments

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11
Q

which bone is most commonly dislocated in the wrist

A

lunate bone is the most commonly dislocated bone of wrist- MOI: forceful hyperextension

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12
Q

MOI for most wrist sprains

A

falling on an outstretched hand resulting in damage to the palmar radiocarpal ligament
wrist is either hyperextended/hyperflexed
acute injury

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13
Q

symptoms of wrist sprains

A
  • numbness/pain radiating from the wrist to the hands and fingers
  • swelling and bruising
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14
Q

1st aid for wrist sprains

A

RICE, immobilize wrist joint, elevate w/ sling

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15
Q

signs/symptoms of finger sprains

A

swelling/pain
restrictive movement
black/blue discoloration

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16
Q

treatment for finger sprains

A

1st/2nd degree= splint
elevate
RICE 10min/3 times per day
warm water treatments after 48h
5 days after injury: start gentle motion for 5 days
return to sports >one week after the above

17
Q

treatment for dislocations

A

ice 10 minutes 3 times a day for 2 days
splint for three weeks and then warm finger baths
hand squeezers to regain strength
do these exercises until 95 % of motion and strength is regained
may take 3 to 6 months to recover