The Hand

Question 1

Deformity of the DIP joint due to rheumatoid arthritis

Answer 1

Boutonniere Deformity

Question 2

Deformity of the PIP joint due to rheumatoid arthritis

Answer 2

Swan-Neck Deformity

Question 3

Most of the finger movement in our hands come from what muscles?

Answer 3

Extrinsic Muscles in the Forearm

Question 4

What are the 4 groups of Intrinsic Muscles in the Hand?

Answer 4

Thenar
Hypothenar
Interossei
Lumbrical Muscles

Question 5

Name the 4 Thenar Muscles.

Answer 5

Adductor Pollicis
Opponens Pollicis
Abductor Pollicis Brevis
Flexor Pollicis Brevis

Question 6

Name the 3 Hypothenar Muscles.

Answer 6

Abductor Digiti Minimi
Flexor Digiti Minimi
Opponens Digiti Minimi

Question 7

An infection of the finger that involves the tissue at the edges of the fingernail. Usually superficial and localized to the soft tissue and skin around the fingernail. Most common bacterial infection seen in the hand.

Answer 7

Paronychia

Question 8

An infection of the finger tip and soft tissue that is associated with it.

Answer 8

Felon

Question 9

How many flexor tendons does each digit have?
(except for the thumb)

Answer 9

2

Question 10

Name the two flexor tendons of the digits.

Answer 10

Flexor Digitorum Profundus
Flexor Digitorum Superficialis

Question 11

What is the name of the thumb flexor.

Answer 11

Flexor Pollicis Longus

Question 12

Infection that involves the tendon sheaths responsible for flexing or closing the hand. Typically occurs in individuals with underlying suppressed immune systems.

Answer 12

Infectious Flexor Tenosynovitis

Question 13

Swollen synovium of the A1 Pulley and tendon in the fingers.

Answer 13

Trigger Finger

Question 14

What is a possible complication when reducing possible entrapment of the pulley system as seen in Trigger Finger?

Answer 14

Dislocated Finger

Question 15

A 23 year old male present to the ER. He reports that while playing basketball he fell on his outstretched hand with the palm down. The right wrist is slightly swollen and tender but not deformed. However, deep palpation of the anatomical snuff box elicits extreme tenderness. What do you suspect?

Answer 15

Scaphoid Fracture

Question 16

What artery may be involved in a Scaphoid Fracture?

Answer 16

Radial Artery

Question 17

What bone lies next to the Scaphoid Bone and may be dislocated along with a Scaphoid fracture?

Answer 17

Lunate Bone

Question 18

What nerve runs over the Scaphoid bone?

Answer 18

Median Nerve

Question 19

What nerve innervates the flexor muscles in the anterior compartment of the forearm?

Answer 19

Median Nerve

Question 20

What nerve innervates the Flexor Carpi Ulna’s and part of the Flexor Digitorum Profundus?

Answer 20

Ulnar Nerve

Question 21

What can result from Carpal Tunnel Syndrome?

Answer 21

Thenar Muscle Wasting

Question 22

What are 2 special tests that can be used to test for Carpal Tunnel Syndrome

Answer 22

Phalen’s Test
Tinel’s Test

Question 23

Test for Carpal Tunnel Syndrome where the patient flexes their wrist together for 60 seconds.

Answer 23

Phalen’s Test

Question 24

Test for Carpal Tunnel Syndrome where you tap over the patient’s transverse carpal ligament.

Answer 24

Tinel’s Test

Question 25

How can you treat Carpal Tunnel Syndrome

Answer 25

NSAIDs
Splint
Environment Modifications
Surgical Release of the Ligament

Question 26

Avulsion of the Long Extensor Tendon leaves the finger unable to extend at what joint?

Answer 26

DIP Joint

Question 27

What two tendons allow the finger to stay straight?

Answer 27

Extensor Tendon
Flexor Tendon

Question 28

If one of the tendons in the finger tears, which way will the finger bend?

Answer 28

Away from the torn tendon

Question 29

A Flexor Tendon tear of the finger is also known as what?

Answer 29

Jersey Finger

Question 30

Test used to ensure Ulnar artery sufficiency

Answer 30

Allen’s Test