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Ortho Assessments for National Exam > Ortho 2 (special tests/glides): Wrist/Hand > Flashcards

Ortho 2 (special tests/glides): Wrist/Hand Flashcards

1
Q

wrist - ROM (flex, ext, RD, UD, forearm pron/sup)

A

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2
Q

wrist - RISOM (flex, ext, RD, UD, forearm pron/sup)

A

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3
Q

finger MCP ROM (flex, ext, abd, add)

A

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4
Q

finger MCP RISOM (flex, ext, abd, add)

A
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5
Q

Finger DIP/PIP ROM (flex,ext)

A

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6
Q

Finger DIP/PIP RISOM (flex,ext)

A

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7
Q

Thumb ROM (CMC: flex, ext, abd, add, MCP: flex, ext, IP: flex, ext)

A

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8
Q

Thumb RISOM (CMC: flex, ext, abd, add, MCP: flex, ext, IP: flex, ext)

A

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9
Q

wrist palpation - bony structures

A
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10
Q

wrist - distal RU joint (palmar and dorsa glide)

A

**looking for: neutral zone, R1, R2, any pain

Pt: Seated or supine & F/A in resting position

Pht:

  • Standing, facing pt’s hand
  • One hand: stabilizes ulna
  • One hand: grasp pt’s distal radius
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11
Q

wrist - RC joint (palmar and dorsal glide)

A

**looking for: neutral zone, R1, R2, any pain

Pt: Seated, F/A resting on bed; wrist over edge & in RP

Pht:
- Standing, close to pt’ hand

  • One hand: stabilize distal radius/ulna close to jt line
  • One hand: grasp proximal row of carpals
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12
Q

wrist (RC joint) - radial and ulnar glide

A

**looking for: neutral zone, R1, R2, any pain

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13
Q

wrist (RU joint) traction and compression

A

**looking for: neutral zone, R1, R2, any pain

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14
Q

fingers - MCP joint (palmar, dorsal, medial, lateral glides)

A

Pt seated, FA on bed & joint in RP (slight flexion)

Pht: using a pinch grip with both hands

  • For palmar & dorsal glides: on palmar/dorsal aspect of bones
  • For radial & ulnar glides on radial/ulnar aspect of bones
  • One hand: stabilize distal MC (♂), close to jt line
  • One hand: grasp proximal phalanx (♀)
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15
Q

fingers - MCP joint (traction/compression)

A

Pt seated, FA on bed & joint in RP (slight flexion)

Pht: using a pinch grip with both hands

  • For palmar & dorsal glides: on palmar/dorsal aspect of bones
  • For radial & ulnar glides on radial/ulnar aspect of bones
  • One hand: stabilize distal MC (♂), close to jt line
  • One hand: grasp proximal phalanx (♀)
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16
Q

fingers - IP joint (palmar and dorsal glide)

A

Pt seated, with FA on bed & joint in resting position (slight flexion)

Pht: using a pinch grip with both hands

  • One hand: stabilize proximal phalanx (♂), close to jt line
  • One hand: grasp base of adjacent (distal) phalanx (♀)
17
Q

fingers - IP joint (traction/compression)

A

Pt seated, with FA on bed & joint in resting position (slight flexion)

Pht: using a pinch grip with both hands

  • One hand: stabilize proximal phalanx (♂), close to jt line
  • One hand: grasp base of adjacent (distal) phalanx (♀)
18
Q

wrist - distal ru ligament stress test

A

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
19
Q

wrist - RCL and LCL ligament stress test

A

Wrist collateral ligaments
Pt: wrist in extension (just out of CPP)

Pht:

  • One hand: stabilize distal radius/ulna
  • One hand: grasps proximal & distal rows of carpal bones

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
20
Q

wrist MCP collateral ligaments stress tests

A

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
21
Q

finger DIP and PIP collateral ligament stress tests

A

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
22
Q

wrist - finkelstein test

A
23
Q

wrist - TFCC supination lift test

A
24
Q

wrist - TFCC ulnar impaction test

A
25
Q

wrist - TFCC load test

A
26
Q

Wrist mobs of lateral column

A

The carpal bones should be mobilized in flexion.

27
Q

Wrist mobs of medial column

A

mobs should be done in wrist flexion

28
Q

Wrist mobs of mid column

A

mobs should be down with wrist in flexion

29
Q

Thumb (CMC) traction/compression

A
30
Q

Thumb (CMC) dorsal glide

A
31
Q

Thumb (CMC) palmar glide

A
32
Q

Thumb (CMC) radial glide

A
33
Q

Thumb (CMC) ulnar glide

A
34
Q

wrist manipulation - thrust in traction (lunate on radius)

A

Indications:

S/A: Mechanism of injury: full extension or flexion

O/A:
- Observation/palpation: any protuberance or dimple

  • ROM: flexion or extension ↓ & hard EF & pain
  • Glide: carpal bone palmar or dorsal glide ↓ NZ & hard EF

Special Considerations:

  • Scaphoid fracture (< 2wks) – can have been missed on x-ray
  • Carpal bones hypermobility
  • Nerves & blood vessel compression
35
Q

wrist manipulation - palmar glide (lunate on radius)

A

Indications:

S/A: Mechanism of injury: full extension or flexion

O/A:
- Observation/palpation: any protuberance or dimple

  • ROM: flexion or extension ↓ & hard EF & pain
  • Glide: carpal bone palmar or dorsal glide ↓ NZ & hard EF

Special Considerations:

  • Scaphoid fracture (< 2wks) – can have been missed on x-ray
  • Carpal bones hypermobility
  • Nerves & blood vessel compression
36
Q

wrist manipulation - dorsal glide (lunate on radius)

A

Indications:

S/A: Mechanism of injury: full extension or flexion

O/A:
- Observation/palpation: any protuberance or dimple

  • ROM: flexion or extension ↓ & hard EF & pain
  • Glide: carpal bone palmar or dorsal glide ↓ NZ & hard EF

Special Considerations:

  • Scaphoid fracture (< 2wks) – can have been missed on x-ray
  • Carpal bones hypermobility
  • Nerves & blood vessel compression

Ortho Assessments for National Exam (11 decks)

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