Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Upper Extremity Orthotics > Week 6 > Flashcards

Week 6 Flashcards

1
Q

What is Flexor Tendon Injury of the finger?

A

Presents with DIP flexion loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is another name for flexor tendon injury of the finger?

A

Jersey finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does flexor tendon injury of the finger result from?

A

A forceful hyperextension of the DIP joint with the FDP in maximal contraction
Example jersey ripped out of tackler’s grip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which is the primary flexor of the index, middle, ring and small finger?

A

Flexor digitorum profundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where does the flexor digitorum profundus insert?

A

Distal phalanx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where does the flexor tendon injury usually rupture?

A

Tendon rupture occurs at the bony insertion site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the orthotic treatment for Jersey finger?

A

Buddy system

WHO-only use when buddy system flexion is painful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are other names for ulnar collateral ligament injury?

A

gamekeeper’s thumb

skier’s thumb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does the ulnar collateral ligament do?

A

Supplies structural lateral support of the thumb for fine motor functional activities and weight bearing tasks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the common cause of ulnar collateral ligament injury?

A

A severe, sudden valgus force placed on the already abducted thumb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is ulnar collateral ligament injury?

A

Ulnar collateral ligament ruptures at its distal insertion site into the base of the proximal phalanx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the common sports associated with ulnar collateral ligament injury?

A

Football
Wrestling
Skiing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the orthotic treatment of ulnar collateral ligament injury?

A

Thumb spica orthosis that encases the IP and MP joints with the thumb in slight adduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How long does the patient immobilize the ulnar collateral ligament injury?

A

6-10 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What treatment occurs after 8-12 weeks of ulnar collateral ligament injury?

A

Physical therapy with progression into lateral pinch strengthening and oppositional strengthening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What makes up the traingular fibrocartilage complex?

A 
Ulnotriquetral ligament
ulnolunate ligament
plamar radioulnar ligament
articular disc
dorsal radioulnar ligament
(Triangular fibrocartilage, palmar and dorsal radioulnar ligaments, and the ulnar carpal ligaments)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does TFCC stand for?

A

Triangular fibrocartilage complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the centerpiece of the trianguar fibrocatilage complex?

A

The articular disc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How common is TFCC injury?

A

Not common-1 every few years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is TFCC injury?

A

TFCC avulsion from distal sigmoid notch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Where does the disc originate and insert for the TFCC?

A

Originates from the sigmoid notch of the distal radius

Inserts into the fovea at the base of the ulnar stylod process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What merges to create the TFCC?

A

Volar fibers of the articular disc
ulnolunate ligament
ulnotriquetral ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the TFCC critical in supporting?

A

The ulnar carpus (Carpal bones that articulate with the ulna)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What does the TFCC act as?

A

A decelerator and shock absorber when conducting the radial and ulnar deviation activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How is the TFCC injured?

A

Distal radius fractures and wrist sprains.

26
Q

What is the orthotic treatment for TFCC?

A

Antiinflammatory medication and a resting splint to limit pronation, supination and joint loading activities

27
Q

How long is the orthosis worn for TFCC?

A

4-6 weeks

28
Q

What is another orthotic treatment option for TFCC after 4-6 weeks?

A

A custom fitted long arm splint with 90 degrees elbow flexion, forearm neutral, and wrist 10-20 degrees extension

29
Q

What orthotic treatment can be used for metacarpal fractures?

A

“buddy system” hand orthosis-stabilizes whole hand or just the last two fingers
Partial WHO-maintain and stabilizes the arch with palmar extension
Palm splint-allows 1 and 2 to move

30
Q

What is a 5th metacarpal fracture also called?

A

Boxer’s fracture

31
Q

How does boxer’s fracture occur?

A

When people are upset and punch wall, locker, equipment, person causing a fracture of the 5th metacarpal

32
Q

What is the orthotic treatment for boxer’s fracture?

A

MP flexed with HO or WHO

33
Q

How do wrist fracture occur?

A

Fall or MVA or any strong force on the hand

A sudden force pushing the hand backwards

34
Q

What is another name for a distal radius fracture?

A

Colles fracture

35
Q

How does a Colles fracture occur?

A

When the broken fragment of the radius tilts upward

36
Q

What is another name for smith’s fracture?

A

Reverse colles fracture

37
Q

How does a smith’s fracture occur?

A

A backward fall on the palm of an outstretched hand causing pronation of upper extremity while the hand is fixed to the ground

38
Q

What is a Chauffer’s fracture?

A

Fracture to the styloid process of the radial joint

39
Q

What is another name for a chauffer’s fracture?

A

Hutchinson fracture

40
Q

Where does a chauffer’s fracture often begin?

A

At the junction of the lunate and scaphoid fossae on the radial artuclar surface and extends laterally

41
Q

What is Barton’s fracture?

A

Dislocation of the radiocarpal joint

42
Q

How is barton’s fracture characterized?

A

Shear type fractures of the distal articular surface of the radius with translation of the distal radial fragment and the carpus

43
Q

What are the different areas of the scaphoid bone?

A

Distal pole
Waist
Proximal pole

44
Q

What are the different types of fractures to the scaphoid bone?

A

Tubercle fracture
Transverse
Horizontal oblique
vertical oblique

45
Q

What is the most commonly fractured bone of the carpus?

A

Scaphoid

46
Q

What are the signs that the scaphoid bone is fractured?

A

Complaint of pain and discomfort at the anatomical snuffbox

47
Q

How does a scaphoid fracture usually occur?

A

On an outstretched hand

48
Q

What is important to consider for scaphoid fractures?

A

The poor blood supply to the scaphoid

49
Q

What are acute fracture of the scaphoid?

A 
less than 6 weeks
distal oblique
waist
proximal pole
fracture dislocation
50
Q

What are non-unions of the scaphoid?

A 
greater than 6 weeks
fibrous union
pseudarthrosis
sclerotic pseudarthrosis
avascular necrosis
51
Q

What often occurs to scaphoid fractures?

A

Mistaken for wrist sprain and immobilization is not carried out

52
Q

What is the orthotic treatment option considerations for scaphoid fractures?

A

Depends on severity

Usually also involves ligamentous injuries affecting wrist stability, and functionality.

53
Q

What are the orthotic treatment options for scaphoid fractures?

A

Non-displaced fractures are typically in a thumb spica orthosis (custom fab or fit)
Fractures of the proximal 2/3 require long arm splinting with distal humerus to prevent forearm rotation and restrict thumb motion

54
Q

Where is the elbow positioned for scaphoid fracture treatment?

A

70 degrees of flexion

Forearm and wrist neutral

55
Q

What tests are used to diagnosis CTS?

A

Phalen’s test

Reverse phalan’s test

56
Q

What is phalan’s test?

A

Wrist flexion with hand together. Tingling is a positive CTS

57
Q

If the arm cannot reach 90 degrees of flexion for the phalan’s test what should you do?

A

Let the arm drop as far as possible without added force

58
Q

Who is Jules Tinel?

A

Studied wartime nerve injuries in France

59
Q

What is the Tinel’s sign?

A

Tapping (percussion) over the areas of the hand of the injured nerve to determine the progress of nerve regrowth

60
Q

What can the injured nerve eventually do?

A

Grow along the old course and re-connect to the original target tissue

61
Q

What is froments sign?

A

The practitioner asks the patient to grip a piece of paper between the thumb and index finger. The flexion of the thumb with resistance indicates adductor pollicis weakness

62
Q

What is Wartenberg’s sign?

A

The little finger lies abducted due to ulnar nerve involvement and the unopposed action of the extensor digitorum

Upper Extremity Orthotics (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions