Wrist Flashcards

1
Q

What does Tinels test

A

Neuropathy

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2
Q

Tinels technique

A

Gently tap over carpal tunnel

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3
Q

+ve Tinels

A

Parasthesia from median N (thumb, index, middle)
Ulnar distribution- ring and pinky (palm and dorsal)

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4
Q

Tinels sens

A

23-97

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5
Q

Tinels spec

A

53-100

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6
Q

What does pronator stretch test

A

Neuropathy

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7
Q

Pronator stretch test technique

A

Pt elbow flexed 90 deg
Supinate forearm
Pt pronate + ext elbow
Resist pronation during ext

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8
Q

+ve Pronator stretch technique

A

Parasthesia- medial N compress pronator teres (little/middle finger)

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9
Q

What does Allens test

A

Artery stenosis or occlusion- Peripheral vascular disease

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10
Q

Allens technique

A

Pt makes fist, place contact over radial + ulnar arteries
Pt continuously open + closes fist until palm is white
Release radial artery, allow hand to fill
Repeat with ulnar artery

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11
Q

+ve Allens

A

Skin remains white for longer than 5s

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12
Q

Allens clinical notes

A

May compress nerves, be mindful of carpal tunnel like symptoms

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13
Q

What does Finklesteins test

A

Tenosynovitis of abductor pollicis longus + extensor pollicis brevis tendon

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14
Q

Finklesteins technique

A

Pt grip thumb with fingers (fist)
Ulnar deviate/move hand to floor

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15
Q

+ve Finklesteins

A

P abductor pollicis longus + extensor pollicis brevis tendons

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16
Q

Finklestein clinical notes

A

Test may be performed actively or passively
P is often sharp and local
False +ve test can result from 1st MCP Jt patho

17
Q

What does Phalens test

A

Carpal tunnel syndrome

18
Q

Phalen technique

A

Dorsal side of hands together
Hold for 2 mins
If P is felt during, no need to continue

19
Q

+ve Phalen

A

P, numbness, tingle distal to compression

20
Q

What does reverse Phalens test

A

Carpal tunnel syndrome

21
Q

Reverse Phalens technique

A

Prayer position
Hold for 2 mins
If P is felt, stop

22
Q

+ve Reverse Phalens

A

P, numbness, tingle distal to compression

23
Q

What does Ulnomeniscotriquetral dorsal glide test

A

Triangular fibrocartilage complex damage

24
Q

Ulnomeniscotriquetral dorsal glide technique

A

Pt seat, pronate arm
Place thumb over ulnar (just over styloid process)
Index on pisiform
Produce ‘clicking motion’

25
+ve Ulnomeniscotriquetral dorsal glide
P or laxity of TFCC
26
What does TFCC dorsal glide test
TFCC damage
27
TFCC dorsal glide technique
Apply grip around wrist Other hand around metatarsals Produce ulnar deviation with slight compression
28
+ve of TFCC dorsal glide
P or laxity of TFCC Crepitus
29
Bracelet test procedure
Pt seated Apply lateral compression around distsl radius and ulna
30
Bracelet test interpretation
Forearm, wrist or hand P- RA, OA/DJD at wrist Abnormal ROM- ligament laxity, instability
31
Median nerve compression procedure
Pt seated Examiner places thumbs over median as it passes through the carpal tunnel + apply pressure for 30-60s
32
Median nerve compression test interpretation
P, numbness or tingling distal to compression site- carpal tunnel syndrome
33
Scaphoid # test procedure
Pt seated Grip Pts thumb and apply pressure in Pts anatomical snuff box
34
Scaphoid # interpretation
P following injury- scaphoid #
35
Scaphoid # clinical notes
Most commonly # carpal is scaphoid Risk of avascular necrosis 20% of # are false -ve
36
Thumb grind
Pt seated Examiner grips and stabilises Pts wrist and thumb Apply long axis compression while circumducting thumb
37
Thumb grind interpretation
P or crepitus- trapeziometacarpal arthritis or DJD, scaphoid #