Wk 8

Question 1

common conditions of the wrist

Answer 1

• distal radius #
• scaphoid #
  wrist ligament sprain/tear
• Intercarpal lifament
• scapholunate ligament
• lunotriquetral ligament

Question 2

less common conditions of the wrist

Answer 2

• fracture of hook of hamate
• TFCC tear
• distal RU jt instab
• scapholunate dissociation

Question 3

not to be missed conditions of the wrist

Answer 3

• carpal dislcocation
• anterior dislocation of the lunate
• perilunar dislocation
• traumatic ulnar artery aneurysm/ thrombosis

Question 4

common donitions of the acute hand

Answer 4

-MC #
- phalanx #
- PIP disloc
- mallet finger
- UCL sprain/ tear 1st MCP= skier’s thumb
- PIP sprain

Question 5

less common condiitions of the acute hand

Answer 5

• bennetts #
• MCP dislocation
• DIP dislocation
• RCL sprain 1st MCP
• DIP sprain
• stress #s
• glomus tumour

Question 6

not to be missed conditions of the hand

Answer 6

• potential infection
• avulsion of long flexor tendons

Question 7

P&N’s on the lateral palmar 3 1/2 digits surface of the hand

Answer 7

median nerve injury

Question 8

priorities of Physical Assessment of the hand & wrist

Answer 8

1. Review radiology/imaging films and reports; operation and/or interventional reports
2. Observation & Wound (if indicated) Assessment
3. Vascular integrity
4. Oedema
5. Palpation
6. Sensation (+/- reported neurological signs during Interview) & Sensibility
7. Range of Motion (+/- surgeons post-op. orders e.g. early active mobs/not)
8. Muscle Testing (+/- surgeons post-op. orders) including potential nerve lesions
9. Functional Evaluation
10. Special Orthopaedic tests (if appropriate and you are the primary point of contact/wanting
    to make a diagnosis)