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Intro UE Wrist and Hand > Intro UE Wrist and Hand > Flashcards

Intro UE Wrist and Hand Flashcards

1
Q

3 wrist joints

A

Radiocarpal
Midcarpal
Intercarpal

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2
Q

Radiocarpal joint consists of what bones

A

Scaphoid, lunate, Triquetrum, radius

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3
Q

Intercarpal row bones

A

All joints between proximal row and distal row, articulation between pisiform and triquetrum

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4
Q

Scaphoid is what shape AP and med/lat

A

Convex AP
Concave med/lat

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5
Q

Trapezi are what shape AP and med lat

A

Concave AP
Convex med/lat

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6
Q

Proximal surface of mid carpal joint is bi what

A

Concave

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7
Q

Distal surface of mid carpal joint is what

A

Bi convex

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8
Q

Radio carpal and mid carpal proximal and distal row arthros for extension

A

Posterior (dorsal) roll, anterior (volar) glide

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9
Q

Radio carpal and mid carpal flexion arthros for proximal and distal row

A

Anterior (volar) roll, post (dorsal) glide

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10
Q

Radial deviation arthros

Proximal row glides
Scaphoid glides
Gapping occurs where
Distal row rotates
Trapezi glides

A

Ulnar direction
Anterior
Ulnar side as triqeitrum moves away from disc
Distal row rotates radially
Posterior

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11
Q

Ulnar deviation arthros

Proximal row glides
Distal row
Hamate glides

A

Radially
Rotates ulnarly
Anteriorly

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12
Q

1st CMC arthros

Abd
Add

A

Abd: volar (ant roll), dorsal (post glide)
Add: dorsal roll, volar glide

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13
Q

1 CMC is what kind of joint

A

Sellar

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14
Q

Opposition consists of what 2 motions

A

Flx and abd

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15
Q

2-5 CMC joints

Consists of what bones
What type of joint

A

2-5 metacarpals, trapezoid, capitate, hamate

Modified sellar

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16
Q

2-5 intermetacarpal joints

Bones
Type of joint

A

Based of metacarpals
Amphiarthroses

17
Q

MCP joints

Type of joint
What helps ext distal phalanx
Relaxed in
Max tight in
How much ab/add in extension and flexion
Amount of possible rotation

A

Bi axial ellipsoid
Fibrocartilage plate
Extension
Flexion
20-30 in extension
0 in flexion
60

18
Q

IP joints

Type
Max tight in
Flexion increases from to a max of PIPs and DIps

A

Uniaxial hinge
Flexion
2nd to 5th to max 135
2nd to 5th to max 90

19
Q

Wrist resting, closed packed, capsular

A

Slight ext and UD
Full extension and RD
Equal flx/ext, little in UD/RD

20
Q

Wrist AROM

A

Flx/ 85
Ext: 85
UD: 45
RD/ 20

21
Q

How much flexion in wrist total and how much comes from Radiocarpal vs modcarpal

A

85
Radio: 50
Mid: 35

(Opp in extension)

22
Q

IP and 2-5 MCP jt resting, closed and capsular

A

IP rest: slight flexed
Ip closed: full ext
Ip capsular: flx, ext

2-5 MCP rest: slight flexed
Closed: full flexion
Capsular, flx,ext

23
Q

1 MCP rest, closed

A

Rest: slight fix
Closed: full ext

24
Q

1 CMC rest, closed, capsular

A

Rest: 1/2 bw max flx/ext and ad/add
Closed: full OPP
Capsular: abduction/ext

25
Q

Thumb AROM MCP

A

Flx MCP: 50
Ext MCP: 0

26
Q

Thumb AROM

A

CMC flx: 15
CMC ext: 20
CMC abd: 70

27
Q

Thumb AROM

A

IP flx: 80
Ip ext: 20

28
Q

MCP 2-5 AROM

A

Flx: 90
Ext: 30
Abd: 80
Circumduction greatest in MCP II

29
Q

IP 2-5

A

Flx: pip 120 dip 90
Ext: pip 0-5 dip 10-30

30
Q

Lunate dislocation

Moi
Complications

A

Foosh
Avadcuksr necrosis, med n, fracture

31
Q

Colles fracture

What is it
Moi
Most common in age
Gender
Aka

A

Fracture of distal end of radius
Foosh
Over 40
Women
Dinner fork

32
Q

Scaphoid fracture

Common in
Moi
Pain levels
Tenderness where

A

Young adults
Foosh
Low pain and able to use hand
Anatomical snuff box

33
Q

CPR for scaphoid fracture

A

Male
Sport activity
Snuffbox pain on ulnar deviation within 72 hours of injury
Scaphoid tubercle tenderness at 2 weeks

34
Q

A vascular necrosis of scaphoid can occur where

A

Prox pole

35
Q

Scaphoid fracture test

A

Axial loading of thumb

Passively abduct and extend thumb at MCP and apply compression

+ is pain with pressure

36
Q

TFCC pathology

Pain worse with
Sx
Testing

A

UD, pronation, gripping
Clicking
Shear test

37
Q

TFCC functions

A

Stabilize distal radioulnar and ulnar wrist joints

Reinforce ulnar side wrist

Forms concavity of Radiocarpal joint

Compression transfers forces

38
Q

TFCC absorbs how much loading forces

A

20%

39
Q

Functional load test

A

Holds 3-5 pound dumbbell at end range UD and pronation

+ = pain

Intro UE Wrist and Hand (1 decks)

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