Week 1 Lecture Flashcards

1
Q

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

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

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

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

What is ‘Trigger Finger’

A

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

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4
Q

At what ‘Pulley” does trigger finger commonly occur?

A

A1 - at the MCP

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5
Q

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

A
  1. De Quervain’s Tenosynovitis
  2. EPL rupture
  3. EDM Rupture
  4. Subluxation of ECU
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6
Q

What is extensor expansion

A

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

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7
Q

What two muscle tendons are involved in De Quervains Tenosynovitis

A
  1. EPB

2. APL

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8
Q

Two Special tests for De Quervains Tenosynovitis

A
  1. Finklesteins

2. WHAT

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9
Q

3 special tests for carpal tunnel syndrome

A
  1. Tinels sign
  2. Phalens test
  3. Reverse Phalens test
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10
Q

Special test for the ulnar nerve

A

Fromonts sign

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11
Q

What is a Galleazi fracture

A

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

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12
Q

Minimum functional ROM for i) flexion ii) extension

A

i) 10 degrees

ii) 35 degrees

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13
Q

Optimal ROM for i) flexion ii) extension

A

i) 50-55

ii) 60

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14
Q

Optimal ROM for i) UD ii) RD

A

i) 40 degrees

ii) 17 degrees

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15
Q

List 4 common acute injuries of the wrist

A
  1. distal radial fracture
  2. Scaphoid fracture
  3. Wrist ligament sprain
  4. Scapholunate injury
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16
Q

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

A

Scapholunate dissociation

17
Q

What is a colles fracture?

A

complete # radius with dorsal displacement of the distal fragment

18
Q

List 5 clinical signs of a Scaphoid #

A
  1. report of FOOSH
  2. Snuff box tenderness
  3. Poor grip
  4. swelling
  5. painful RD
19
Q

What two movements are especially problematic for someone with scapholunate dissociation

A

extension

UD

20
Q

List 4 clinical signs of a TFCC tear

A
  1. MOI; compression and UD
  2. Pain with resisted UD
  3. clicking
  4. reduced grip strength
21
Q

2 tests for TFCC tear

A
  1. Press test

2. Compression test

22
Q

What is skiers thumb

A

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

23
Q

5 common causes of gradual onset wrist pain

A
  1. De quervains tenosynovitis
  2. Tendinopathies
  3. Carpal tunnel syndrome
  4. OA
  5. TFCC
24
Q

What 4 muscular tendons are involved in intersection syndrome

A
  1. APL
  2. EPB
  3. ECRL
  4. ECRB
25
Pins and needles in the 4th and 5th digit may be indicative of what pathology
Guyons canal syndrome
26
Where is OA most likely in the hand/wrist/fingers?
1st CMC
27
Phalen's test is performed in wrist...?
sustained wrist flexion
28
Reverse phalen's test is performed in wrist...?
sustained wrist hyperextension