The Hand & Wrist

Question 1

Carpal tunnel Syndrome Diagnosis

Answer 1

Special test: Tinel’s sign, Phalen’s sign & Durkans
ROM: Wrist flexion & pronation

Question 2

Carpal tunnel differential diagnosis

Answer 2

Flexor carpi tendinopathy, cubital tunnel syndrome (referring from elbow down arm?), ganglion cyst or scapholunate ligament sprain

Question 3

De Quervain’s diagnosis

Answer 3

Special test: Finklestein’s
ROM: Ulnar deviation & thumb abduction and extension?

Two muscles that control movement = abductor pollicus longus & extensor pollicus brevis

Question 4

De Quervain’s differential diagnosis

Answer 4

OA, intersection syndrome, skier’s thumb, scaphoid fracture & flexor carpi tendinopathy

Question 5

Normal ROM: Radial deviation

Answer 5

15 degrees

Question 6

Normal ROM: Ulnar deviation

Answer 6

30 to 45 degrees

Question 7

Normal ROM: Wrist flexion

Answer 7

80 to 90 degrees

Question 8

Normal ROM: Wrist extension

Answer 8

70 to 90 degrees

Question 9

Normal ROM Finger flexion

Answer 9

MCP: 85-90
PIP: 100-115
DIP: 80-90

Question 10

Normal ROM: Finger extension

Answer 10

MCP: 30-45
PIP: 0
DIP: 20

Question 11

Normal ROM: Thumb flexion & extension of MCP. Abduction.

Answer 11

50 to 55
0
60 to 70 deg