Week 14 - Forearm, Wrist, Hand Flashcards
Obseravtion for hand?
SHARP
Deformity
Palpation?
Condition-specific Special Tests
ROM
stability testing
Functional Testing`
Forearm # MOI and S&S?
MOI:
* FOOSH, direct blow affecting both the
radius and ulna
* Distal radius fracture (Colle’s fracture)
most common
SSx:
* Pop or crack heard
* Pain, swelling, disability, tenderness,
ecchymosis
* Possible crepitus or deformity (false
joint)
Forearm # Tx and Prevention?
Immediate Tx:
* POLICE
* Splint, sling
* Radiograph to confirm fracture
* Cast
* While immobilized, can start
isometric gripping
* Functional recovery in ~2 months
Prevention:
* Proper falling technique
Scaphoid # MOI and S&S?
MOI:
* FOOSH causing scaphoid to be
crushed between radius and distal
carpal bones
SSx:
* Swelling
* Scaphoid tender on palpation
* Positive tuning fork
* Pain with wrist extension
Scaphoid # Tx?
Immediate Tx:
* Splint
* Radiograph/CT/bone scan to
confirm
* Once confirmed, splint/cast wrist
and thumb ~6 weeks
* Bracing for additional 3 months to
protect against impact loading
* Complications: avascular necrosis
* Surgery common
Finger #/ Dislocation MOI, S&S, Tx?
MOI:
* Hyperextension, twisting or
shear/axial force
SSx:
* Deformity, pain, motion is limited
and painful
Immediate Tx:
* Splint (in position found), refer to
Dr for repositioning/splint/surgical
reconstruction
Lunate Dislocation MOI,, S&S, Tx?
MOI:
* Hyperextension of wrist (FOOSH)
SSx:
* Swelling
* Pain over lunate with wrist/finger flexion
* Tender on palpation
* Possible numbness/tingling
* Possible deformity
Immediate Tx:
* Stabilize, refer to Dr for reduction
* Recovery 1-2 months, bone deterioration may occur
Wrist Sprain MOI, S&S, Tx?
MOI:
wrist
* Falling on a hyperextended or flexed
SSx:
* Pain, swelling, pain with AROM/PROM
(motions depend on MOI)
Immediate Tx:
* Splint, referral to Dr if severe to rule
out fracture
* Hand/wrist strengthening
* Tape for RTP
* Functional recovery in 4-6 weeks for
mild sprain and 8-12 weeks for
moderate sprain
