Week 1 Lecture

Question 1

List the muscles in the superficial compartment of the arm (5)

Answer 1

1. Pronator teres
2. Flexor Carpi Radialis
3. Palmaris Longus
4. Flexor Carpi Ulnaris
5. Flexor Digitorum Superficialis

Question 2

List the muscles in the deep layer of the forearm (3)

Answer 2

1. Flexor Pollicus Longus
2. Flexor Digitorum Profundus
3. Pronator Quadratus

Question 3

What is ‘Trigger Finger’

Answer 3

Insidious onset of a Nodule in flexor tendon - this nodule gets caught as it passes through the pulley (fibrous bands) and prevents extension

Question 4

At what ‘Pulley” does trigger finger commonly occur?

Answer 4

A1 - at the MCP

Question 5

List four common wrist/forearm injuries/conditions related to the extensor tendon compartment

Answer 5

1. De Quervain’s Tenosynovitis
2. EPL rupture
3. EDM Rupture
4. Subluxation of ECU

Question 6

What is extensor expansion

Answer 6

The input of the Interossei muscles, which aids the ED in middle and distal phalanx extension

Question 7

What two muscle tendons are involved in De Quervains Tenosynovitis

Answer 7

1. EPB

2. APL

Question 8

Two Special tests for De Quervains Tenosynovitis

Answer 8

1. Finklesteins

2. WHAT

Question 9

3 special tests for carpal tunnel syndrome

Answer 9

1. Tinels sign
2. Phalens test
3. Reverse Phalens test

Question 10

Special test for the ulnar nerve

Answer 10

Fromonts sign

Question 11

What is a Galleazi fracture

Answer 11

An isolated fracture of the junction of the distal or middle third of the radius, with associated subluxation or dislocation if the distal radio-ulna joint

Question 12

Minimum functional ROM for i) flexion ii) extension

Answer 12

i) 10 degrees

ii) 35 degrees

Question 13

Optimal ROM for i) flexion ii) extension

Answer 13

i) 50-55

ii) 60

Question 14

Optimal ROM for i) UD ii) RD

Answer 14

i) 40 degrees

ii) 17 degrees

Question 15

List 4 common acute injuries of the wrist

Answer 15

1. distal radial fracture
2. Scaphoid fracture
3. Wrist ligament sprain
4. Scapholunate injury

Question 16

What does a Terry Thomas sign on an X-ray indicate

Answer 16

Scapholunate dissociation

Question 17

What is a colles fracture?

Answer 17

complete # radius with dorsal displacement of the distal fragment

Question 18

List 5 clinical signs of a Scaphoid #

Answer 18

1. report of FOOSH
2. Snuff box tenderness
3. Poor grip
4. swelling
5. painful RD

Question 19

What two movements are especially problematic for someone with scapholunate dissociation

Answer 19

extension

UD

Question 20

List 4 clinical signs of a TFCC tear

Answer 20

1. MOI; compression and UD
2. Pain with resisted UD
3. clicking
4. reduced grip strength

Question 21

2 tests for TFCC tear

Answer 21

1. Press test

2. Compression test

Question 22

What is skiers thumb

Answer 22

Ulnar collateral ligament of the 1st MCP joint - sprain or tear

Question 23

5 common causes of gradual onset wrist pain

Answer 23

1. De quervains tenosynovitis
2. Tendinopathies
3. Carpal tunnel syndrome
4. OA
5. TFCC

Question 24

What 4 muscular tendons are involved in intersection syndrome

Answer 24

1. APL
2. EPB
3. ECRL
4. ECRB

Question 25

Pins and needles in the 4th and 5th digit may be indicative of what pathology

Answer 25

Guyons canal syndrome

Question 26

Where is OA most likely in the hand/wrist/fingers?

Answer 26

1st CMC

Question 27

Phalen’s test is performed in wrist…?

Answer 27

sustained wrist flexion

Question 28

Reverse phalen’s test is performed in wrist…?

Answer 28

sustained wrist hyperextension