injuries in the wrist and hand region

Question 1

Colles fracture is often the result of ___________________________

Answer 1

fall onto an outstretched arm

Question 2

in a colles fracture, when the distal radius is displaced towards the palm, this is often referred to as ____________ or ___________

Answer 2

Reverse colles fracture or a smiths fracture

Question 3

colles fracture often presents with a ______________ deformity

Answer 3

dinner fork

Question 4

in a colles fracture, the arm is often immobilized in a below elbow cast for ___________to ________ weeks

Answer 4

4-6

Question 5

what is the most commonly fractured carpal bone?

Answer 5

scaphoid bone

Question 6

scaphoid fracture is most often the result of a __________________________

Answer 6

fall onto an outstretched hand

Question 7

what are some of the signs and symptoms of a scaphoid fracture?(2)

Answer 7

pain and swelling on the floor of the anatomical snuff box
marked pain and decreased ROM with wrist extension and radial deviation
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Question 8

in the case of a scaphoid fracture, immobilization in cast continues for _____ weeks

Answer 8

6

Question 9

what is a common complication of a scaphoid fracture? (2)

Answer 9

nonunion and avascular necrosis

Question 10

lunate dislocation is often a result of _________________ (main cause)

Answer 10

fall onto an outstretched

Question 11

what are some of the signs and symptoms of a palmar lunate dislocation?(3)

Answer 11

• point tenderness of palm dorsal to radius
• thickened area of palm
• compression of median nerve leading to carpal tunnel syndrome

Question 12

for a lunate dislocation, the wrist is immobilized in moderate flexion for ____ to ____ weeks

Answer 12

3 to 4

Question 13

chronic dislocation of the lunate bone or repeated trauma can lead to _______, _______ and osteocondritis of the lunate bone

Answer 13

vascular compromise, degeneration

Question 14

wrist spain usually results from fall onto an outstretched arm with the wrist being forced into _______ and _________

Answer 14

hyperextension and ulnar deviation

Question 15

in addition to hyperextension and ulnar deviation, wrist sprain may also result from ___________ and __________

Answer 15

hyperflexion and rotation

Question 16

which wrist movement is most limited when the wrist is sprained?

Answer 16

wrist extension

Question 17

the roof of the carpal tunnel is formed by the the ____ _____ ______

Answer 17

transverse retinacular ligament

Question 18

carpal syndrome often results in decreased _____ strength and thumb ____________

Answer 18

grip strength and thumb abduction

Question 19

gamekeeper’s thumb is a sprain of the _____________________________________

Answer 19

ulnar collateral ligament

Question 20

gamekeepers thumb is also known as _________________________

Answer 20

skiers thumb

Question 21

the mechanism for gamekeeper’s thumb is ________________ of the thumb when in a ____ ___________ position

Answer 21

abduction of the thumb when in a fully extended position