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M Eval > Wrist > Flashcards

Wrist Flashcards

1
Q

Distal Radioulnar Joint Resting position

A

10 degrees of supination

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2
Q

Distal Radioulnar Joint closed packed position

A

5 degrees of supination

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3
Q

Distal Radioulnar Joint capsular pattern

A

Full ROM, pain at extremes of rotation

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4
Q

Radiocarpal (Wrist) Joint resting position

A

Neutral with slight ulnar deviation

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5
Q

Radiocarpal (Wrist) Joint
Closed packed position

A

Extension with radial deviation

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6
Q

Midcarpal Joints resting position

A

Neutral or slight flexion with ulnar deviation

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7
Q

Midcarpal Joints closed packed position

A

Extension with ulnar deviation

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8
Q

Midcarpal Joints capsular pattern

A

Equal limitation of flexion and extension, works with radiocarpal joint

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9
Q

Intercarpal Joints resting position

A

Neutral or slight flexion

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10
Q

Intercarpal Joints closed packed position

A

Extension

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11
Q

Intercarpal Joints capsular pattern

A

None

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12
Q

Carpometacarpal Joints resting position

A

Thumb, midway between abduction and adduction, and midway between flexion and extension; Fingers, midway between flexion and extension

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13
Q

Carpometacarpal Joints
Closed packed position

A

Thumb, full opposition; Fingers, full flexion

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14
Q

Carpometacarpal Joints
Closed packed position

A

Thumb, full opposition; Fingers, full flexion

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15
Q

Carpometacarpal Joints
Capsular pattern

A

Thumb, abduction and extension; Fingers, equal limitation in all directions

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16
Q

Metacarpophalangeal Joints
Resting position

A

Slight flexion

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17
Q

Metacarpophalangeal Joints
Closed packed position

A

Thumb, full opposition; Fingers, full flexion

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18
Q

Metacarpophalangeal Joints
Capsular pattern

A

Flexion and extension

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19
Q

Interphalangeal Joints
Resting position

A

Slight flexion

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20
Q

Interphalangeal Joints. Closed packed position

A

Full extension

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21
Q

Interphalangeal Joints
Capsular pattern

A

Flexion and extension

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22
Q

What maintains stability

A

Radioscapholunate ligament

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23
Q

Flexor Zone I
Anatomical Landmark?
Clinical Application?

A

FDP insertion (DIP)
Tear of FDP, Sweater fingers

24
Q

Flexor Zone II
Anatomical Landmark
Clinical Application

A

FDS insertion (PIP), Distal palmar crease
Tear FDP and FDS, No Man’s Land

25
Q

Flexor Zone III
Anatomical Landmark
Clinical Application

A

Distal palmar crease, distal to Carpal Tunnel Area
FDP, FDS, and Lumbrical damage

26
Q

Flexor Zone IV
Anatomical Landmark
Clinical Application

A

Carpal Tunnel Area
FDP, FDS, FPL Median Nerve Injury

27
Q

Flexor Zone V
Anatomical Landmark
Clinical Application

A

Proximal wrist to forearm
All intrinsic and extrinsic flexors; Both ulnar and median nerve; Radial and ulnar arteries

28
Q

Flexor Zone of Thumb I
Anatomical Landmarks
Clinical Application

A

TI
Distal phalanx, neck of proximal phalanx
Tear FPL

29
Q

Flexor Zone of Thumb II
Anatomical Landmarks
Clinical Application

A

Base of proximal phalanx, neck of first metacarpal
Tear FPL and FPB

30
Q

Flexor Zone of Thumb III
Anatomical Landmarks
Clinical Application

A

From first metacarpal going proximally
Thenar muscle

31
Q

What deformity will manifest if the Extensor zone affected is I and II?

A

Swan Neck Deformity

32
Q

What deformity will manifest od the affected structure is Extensor zone III and IV?

A

Boutonniere Deformity

33
Q

What will manifest if Extensor zone affected is I and II?

A

Mallet Finger

34
Q

Its cause is the weakening of the capsuloligamentous structures of the MCP joint
Bowstring effect of the extensor communis tendon

A

Ulnar Drift

35
Q

Inability to simultaneously flex MCP and PIP joints
Caused by adhesions or shortening of the extensor communis tendon proximal to the MCP joint

A

Extensor Plus Deformity

36
Q

Thickening of the flexor tendon sheath
Common in third and fourth finger

A

Trigger Finger / Digital Tenovaginitis Stenosans

37
Q

Atrophy of thenar muscle
Unable to flex or oppose thumb
Caused by median nerve palsy proximal to wrist joint

A

Ape Hand Deformity

38
Q

Both median and ulnar nerve pathology
From an extended fingers, patient ask to flex?
From a flexed position, patient ask to extend?

A

Bishop’s Hand / Benediction’s Hand

Ext to flex = median nerve
Ext to flex = ulnar

39
Q

Wrist drop is caused by damage to the ?
What if there is no sensory loss what nerve is damaged

A

Radial nerve
PNI: has sensory loss - PARESTHESIA
ANI: NO sensory loss

40
Q

What extensor zone is affected when there is a Tear on central slip and lateral band?
Boutonniere deformity

A

III &IV

41
Q

FDP, FDS, FPL, and median nerve injury occur in what area and what flexor zone?

A

Carpal tunnel area, Flexor zone IV

42
Q

Common in diabetes
showing area of abnromal sensation
ingatan dahil di malalaman kung may bleedin

A

Opera glove anesthesia

42
Q

What degrees are the normal functional movement of the wrist:
Flexion;
Extension;
Radial dev;
Ulnar dev;

A

Flexion; 40 deg
Extension; 40 deg
Radial dev; 15 deg
Ulnar dev; 20 deg

42
Q

What range (percent) is the acceptable difference b/w the grip strength of each hand?

A

grip strength: difference 5-10% in both hand

42
Q

torn FDP
terminal tendon
EXTENSOR ZONE 1
flex DIP (presentation)

A

MALLET

43
Q

What type of hand deformity is usually seen in pt w/ RA?

A

Zigzag deformity
*common sa thumb, seen in RA
*In severe cases of RA, Zigzag, ulnar drift, and yung nodes

43
Q

4 stages of grip

A
  1. opening of the hand
  2. positioning and closing the fingers and thumb (grasp)
  3. Exerted force
  4. Release
    * summarized version
44
Q

Thorn UCL and MCP of thumb
Also known as Skier’s thumb
Id UCL is torn it will deviate radially

A

Gamekeeper thumb

44
Q

DIP is flexed
PIP is extended (most affected)
MCP is flexed
lateral band ung affected
volar plate deformity
EXT zone 1
terminal tendon

A

Swan neck deformity

44
Q

PIP joint ang affected
common sa RA

A

Bouchard’s nodes

45
Q

DIP is extended
PIP is flexed (flexed)
MCP is extended
zone 3 and 4
central band

A

Boutonniere deformity

45
Q

Common in severeRA
MCP flexion
Ulnar deviation
THumb subluxation
palmar subluxation onMCP
MCP is weak due to bow stinging

A

Ulnar drift

46
Q

Atrophy of thenar muscle
Unable to flex or oppose thumb
Caused by median nerve palsy proximal to the wrist joint
median nerve

A

Ape hand deformity

47
Q

Contracture of palmar fascia
MC: men, 4th and 5th finger
Common in men
palpation: matigas, may nodule

A

Dupuytren’s contracture

47
Q

Polydactyly and triphalangism
Other congenital anomaly
Campodactyly:
Clinodactyly: orientation:
Syndactyly:
Macrodactyly:

A

Polydactyly and triphalangism
Other congenital anomaly
Campodactyly: little finger is bent
Clinodactyly: orientation: diagonal
Syndactyly: magkadikit
Macrodactyly: malaki

M Eval (15 decks)

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