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Ortho tests > Wrist > Flashcards

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
Q

+ve Ulnomeniscotriquetral dorsal glide

A

P or laxity of TFCC

26
Q

What does TFCC dorsal glide test

A

TFCC damage

27
Q

TFCC dorsal glide technique

A

Apply grip around wrist
Other hand around metatarsals
Produce ulnar deviation with slight compression

28
Q

+ve of TFCC dorsal glide

A

P or laxity of TFCC
Crepitus

29
Q

Bracelet test procedure

A

Pt seated
Apply lateral compression around distsl radius and ulna

30
Q

Bracelet test interpretation

A

Forearm, wrist or hand P- RA, OA/DJD at wrist
Abnormal ROM- ligament laxity, instability

31
Q

Median nerve compression procedure

A

Pt seated
Examiner places thumbs over median as it passes through the carpal tunnel + apply pressure for 30-60s

32
Q

Median nerve compression test interpretation

A

P, numbness or tingling distal to compression site- carpal tunnel syndrome

33
Q

Scaphoid # test procedure

A

Pt seated
Grip Pts thumb and apply pressure in Pts anatomical snuff box

34
Q

Scaphoid # interpretation

A

P following injury- scaphoid #

35
Q

Scaphoid # clinical notes

A

Most commonly # carpal is scaphoid
Risk of avascular necrosis
20% of # are false -ve

36
Q

Thumb grind

A

Pt seated
Examiner grips and stabilises Pts wrist and thumb
Apply long axis compression while circumducting thumb

37
Q

Thumb grind interpretation

A

P or crepitus- trapeziometacarpal arthritis or DJD, scaphoid #

Ortho tests (15 decks)

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