Wrist Flashcards
Which joint is critical to the function of the wrist and is highly relevant to wrist function?
A) Ulnocarpal joint
B) Radiocarpal joint
C) Midcarpal joint
D) DRUJ
D) DRUJ
What is a common mechanism of injury for distal radius fractures?
A) Fall onto an outstretched hand (FOOSH)
B) Direct blow to the wrist
C) Twisting injury
D) Repetitive stress
A) Fall onto an outstretched hand (FOOSH)
What is the primary goal of OT management in the early phase of non-operative treatment for distal radius fractures?
A) Full weight bearing
B) Aggressively treat edema and limitation in mobility
C) High-intensity exercises
D) Immediate return to sports
B) Aggressively treat edema and limitation in mobility
What is the typical immobilization period for non-operative management of scaphoid fractures?
A) 2-4 weeks
B) 4-6 weeks
C) 6-8 weeks
D) 8-12 weeks
B) 4-6 weeks
Which ligament is often involved in carpal instability and scapholunate advanced collapse (SLAC) wrist?
A) Ulnar collateral ligament
B) Scapholunate ligament
C) Radial collateral ligament
D) Triangular fibrocartilage complex (TFCC)
B) Scapholunate ligament
What is the focus of OT management for tendinopathy?
A) High-intensity resistance training
B) Rest, activity modification, and ergonomic correction
C) Immediate return to previous activities
D) Full immobilization
B) Rest, activity modification, and ergonomic correction
What is the typical treatment approach for TFCC injuries that cause DRUJ instability?
A) Immediate surgical intervention
B) Non-operative management unless there is significant foveal detachment or ulnar impaction
C) Full immobilization for 12 weeks
D) High-intensity exercises
B) Non-operative management unless there is significant foveal detachment or ulnar impaction
Which type of fracture is often missed and generally caused by a direct blow to the hamate from activities like grounding a golf club or a check swing in baseball?
A) Scaphoid fracture
B) Hook of hamate fracture
C) Distal radius fracture
D) Triquetrum fracture
B) Hook of hamate fracture
Which phase of OT management for distal radius fractures focuses on learning to isolate wrist extensors and performing wrist extension while maintaining a gentle fist?
A) Early Phase (4-8 weeks)
B) Intermediate Phase (8-12 weeks)
C) Late Phase (12 weeks and beyond)
D) Post-operative phase
A) Early Phase (4-8 weeks)
What is the expected outcome for patients with distal radius fractures undergoing OT management?
A) Permanent loss of wrist function
B) Gradual return to prior level of function, often taking up to a year
C) Immediate return to full function within a few weeks
D) No improvement regardless of the management
B) Gradual return to prior level of function, often taking up to a year
Which ligament is most commonly involved in carpal instability?
A) Ulnar collateral ligament
B) Scapholunate ligament
C) Triangular fibrocartilage complex (TFCC)
D) Radial collateral ligament
B) Scapholunate ligament
What is a common presentation of TFCC injuries?
A) Radial sided wrist pain
B) Dorsal wrist pain
C) Ulnar sided wrist pain with painful clicking during pro/supination
D) Pain with wrist flexion
C) Ulnar sided wrist pain with painful clicking during pro/supination
Which wrist disorder is often associated with acute median nerve compression?
A) Scaphoid fracture
B) Hook of hamate fracture
C) Lunate/perilunate dislocation
D) Triquetrum fracture
C) Lunate/perilunate dislocation
What are the key aspects of OT management for tendinopathy?
A) Immediate return to sports
B) Rest, activity modification, and ergonomic correction
C) Full immobilization for 6-8 weeks
D) High-intensity resistance training
B) Rest, activity modification, and ergonomic correction
Which ligament is most often involved in traumatic injuries from a fall onto an outstretched hand (FOOSH)?
A) Triangular fibrocartilage complex (TFCC)
B) Scapholunate ligament (SL)
C) Ulnar collateral ligament
D) Radial collateral ligament
B) Scapholunate ligament (SL
