wrist Flashcards

1
Q

radiocarpal joint allows movement in two planes

A

sagital plane and dorsovolar axis

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2
Q

features of the sagittal plane in the radiocarpal joint movement

A

flexion and extension
has a degree of 170
extension is the volar glide
flexion is the dorsal glide

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3
Q

features of the dorsovolar axis in the radiocarpal joint movement

A

ulnar and radial deviation

has a degree of 50-80

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4
Q

what is the shape of the carpal bones on the palmar side

A

concave

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5
Q

what makes up the carpal tunnel

A

concave arc and transverse carpal ligament

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6
Q

what is the Connection point for palmaris longus and wrist flexor muscles

A

carpal tunnel

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7
Q

the 3 plane movement of the carpometacarpo joint

A

abduction
adduction
flexion and extension
rotation

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8
Q

features of metacarpophalangeal joints

A

flexion and extension
90 100

abduction and adduction
45 60

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9
Q

proximal distal ip joints

A

hinge type
pip
flexion - extension
90 1000

dip
flexion extension
60 70

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10
Q

ligaments of the wrist joint

A

ulna………
radial
volar dorsal group

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11
Q

in the ulnar styloid process what muscle stretches in radial deviation

A

psiform

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12
Q

in the radius styloid what muscle stretches in the ulnar deviation

A

scaphoideum

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13
Q

volar stretches in what

A

supinaion and extension

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14
Q

dorsal stretches in what

A

pronation and flexion

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15
Q

what is the functional position of the hand

A

15-30 extension

10-12 ulnar deviation

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16
Q

in making a fist what muscles create a flexor torque in the wrist

A

flexor digitorium profondus and superficialis

17
Q

in making a fist what muscles creates extension in the wrist

A

extensor carpi radialis brevis

18
Q

what post surgery tendons are difficult to heal without surgical intervention

A

flexor tendon injuries

19
Q

what is the zone 1 in the flexor zones of the hand

A

btw the attachment of the flexor digitorium superficialis in the middle phalanx and the fingertip

20
Q

zone 2 of the flexor zones of hand
zone 3
zone 4
zone 5

A
mcp joint and middle pharlanx 
3. carpal tunnel
4.proximal and distal transverse carpal ligament 
5.
Extends from 1/3 distal
of the forearm to the proximal
flexor retinaculum
multipl tendon injury, median
and ulnar artery and nerve injury
21
Q

the pulley system is made up of

A

thickened areas of the flexor tendon sheath

22
Q

important roles of the pulley system

A
.flexion 
.accurate tracking of tendons 
.maintaining apposition of tendons
and bones across joints, and
provides fulcrum to elicit
movement (flexion and extension)
23
Q

Factors Affecting Functional Recovery After Flexor Tendon Repair

A

1….The level of injury
¨ 2- Type of injury: Blunt, sharp, avulsion.
¨ 3- Accompanying injury: Vascular, nerve, bone, skin defect.
¨ 4- Surgical technique
¨ 5- Recovery potential and motivation of the patient
¨ 6- The patient’s tendency to scar tissue
¨ 7- Rehabilitation program

24
Q

The goals of tendon rehabilitation

A
Prevent tendon rupture
¨ Prevent contracture
¨ Fascilitate tendon healing
¨ Provide PROM and AROM
Achieve pre-injury functional
level
25
Q

what is the goal of the early phase rehab thats for 1-6 weeks

A

The goals of this phase
to prevent tendon rupture,
provide tendon sglide and
prevent flexion contures

26
Q

what muscles are affected in carpal tunnel syndrome

A

flexor didgitorium superficialis
flexor digitorium profondus
flexor policis longus

27
Q

what nerve is affected in the carpal tunnel syndrome

A

median nerve

28
Q

causes or etiology of carpal tunnel syndrome

A
overuse
pregnancy
occupation and hobby related syndrome
diabetes
obesity 
rehumatoid arthritis
pregnancy
menopause
29
Q

clinical signs and symptoms of the carpal tunnel syndorme

A

pain burning tingling and numbness
using the hand increases the symptoms
complaints are bilateral and are seen in the dominant hand
night time it gets worse

30
Q

what is a sign seen at the late stage of carpal ……syndr,,

A

tenar atrophy

31
Q

post op goals

A

reduce pain and edema
gaining of function
desensitization training