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240 > Wrist and Hand > Flashcards

Wrist and Hand Flashcards

1
Q

MOI of forearm fracture:

A

falls (FOOSH) and direct blows

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2
Q

Signs and symptoms of forearm fracture:

A

-audible pop crack followed by moderate to severe pain, swelling and disability.
-edema and ecchymosis with possible crepitus

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3
Q

3 forearm fracture management:

A

1.POLICE (followed by splinting)
2. Check PMS
3. Long-term splinting followed by rehabilitation plan

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4
Q

Where does Colle’s fracture occur?

A

lower end of radius or ulna

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5
Q

Whats the MOI of Colle’s fracture?

A

-FOOSH forcing distal radius and ulna into posterior displacement

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6
Q

whats the less common/reverse of colle’s fracture?

A

Smith fracture (anterior displacement of distal fragment)

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7
Q

Colle’s fracture sign and symptoms? 3 things

A
  1. Visible deformity (dinner fork)
    2.Misdiagnosed with bad sprain (when no deformity present)
    3.may include median nerve damage
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8
Q

Colles fracture managment:

A

-acute management splint, refer to physisan
-xray and immobilization

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9
Q

what should severe sprain be treated as?

A

fractures

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10
Q

In children colles fracture may cause

A

lower epiphyseal seperation

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11
Q

What’s different for observations for wrist and hand?

A

thumb to finger touching
color of nail beds/cap refill

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12
Q

Wrist sprains MOI

A

-any forced movement
(often unexpected or uncontrollable)

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13
Q

signs and symptoms of wrist sprain:

A

pain,swelling and difficulty with movement

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14
Q

Management of wrist sprain: 4 things

A
  1. refer to physisan for xray (if severe)
    2.POLICE, splint
    3.Active rehad as soon as symptoms allow
  2. Tape for support to prevent further injury
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15
Q

MOI of Triangular fibrocartilage complex (TFCC):

A

twist or torque of wrist

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16
Q

addition of _______ may increase severity inTriangular fibrocartilage complex (TFCC):

A

Ulnar deviation

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17
Q

what is Triangular fibrocartilage complex often associated with?

A

Sprain of UCL

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18
Q

Signs and symptoms of Triangular fibrocartilage complex: 2 things

A
  • pain along ulnar side of wrist, clicking, pain with ulnar deviation
    -patient may not report injury immediately (symptoms may increase gradually)
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19
Q

Management of Triangular fibrocartilage complex (TFCC):

A

-refer to physican for initial management
-conservative treatment initially
—–> immobilize for 4 weeks

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20
Q

surgical intervention may be needed for TFCC if

A

conservative treatments fail

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21
Q

is tape effective in managing symptoms for TFCC?

A

yes very effective

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22
Q

deQuervains syndrome what is it?

A

tendinopathy in thumb (extensor pollicis brevis and abductor pollicis longus)

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23
Q

MOI of deQuervains syndrome

A

-constant wrist movement
-common in those training with a barbell frequently

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24
Q

Signs and symptoms of deQuervains syndrome:

A

-aching pain that may radiate into hand and forearm
-point tenderness and weakness during thumb extension ab duction (loaded eccentric strain)

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25
Q

positive _____ test for deQuervains syndrome

A

Finkelstein’s

26
Q

Finkelstein’s test:

A

-athlete makes a fist with thumb tucked inside
-wrist ulnarly deviated
-positive pain along EPB/APL

27
Q

Management of deQuervains syndrome:

A

immobilization,rest,cryotherapy

28
Q

manual therapy at the site of pain to reduce ________ for deQuervains syndrome

A

excessive fibrosis

29
Q

Dislocation/sublaxation of lunate bone MOI:

A

-forceful hyperextension or fall on outstretched hand

30
Q

signs and symptoms of Dislocation/sublaxation of lunate bone: 3 things

A
  1. pain
  2. swelling
  3. difficulty executing wrist flexion
31
Q

management of Dislocation/sublaxation of lunate bone:

A

-refer to physician
-can lead to hypermobile lunate or unstable scapho lunate complex

32
Q

MOI of scaphoid fracture:

A

-force on outstretched hand
-compressing scaphoid between radius and second row of carpal bones

33
Q

scaphoid fractures often fail to _______ due to _______ :

A

heal due to poor blood supply

34
Q

signs and symptoms of scaphoid fracture:

A

-swelling and severe pain in anatomical snuff box
-pain with radial flexion

35
Q

what do scaphoid fracture present as?

A

wrist sprain

36
Q

management of scaphoid fracture:

A

-must be splinted and referred for X ray

37
Q

immobilization of scaphoid fracture lasts:

A

6 weeks

38
Q

wrist requires protection against _______ for ________ months (scaphoid fracture)

A

against impact loading for additional 3 months

39
Q

Unstable fractures extending through the scaphoid will need

A

surgical stabilization

40
Q

scaphoid fracture may become

A

non-union fracture, extending the time for healing = risk for avascular necrosis

41
Q

extensor tendon alvusion (mallet finger) MOI:

A

-blow to tip of finger avulsing extensor tendon from insertion

42
Q

signs and symptoms of extensor tendon alvusion (mallet finger):

A

-Pain at DIP joint
-unable to extend distal end of finger
(carrying at 30 degree angle)
-point tenderness

43
Q

management of extensor tendon alvusion (mallet finger):

A

POLICE and splinting for 6-8 weeks

44
Q

flexor digitorum profundus rupture (jersey finger) is the rupture of

A

flexor digitorum profundus tendon from insertion on distal phalanx

45
Q

flexor digitorum profundus rupture (jersey finger) MOI:

A

occurs ring finger when athlete tries to grab a jersey

46
Q

signs and symptoms flexor digitorum profundus rupture (jersey finger):

A

-distal phalanx cannot be flexed…. finger remains extended
-pain and point tenderness over distal phalanx

47
Q

managment of flexor digitorum profundus rupture (jersey finger):

A

-must be surgically repaired
-extensive rehab

48
Q

does a flexor digitorum profundus rupture (jersey finger) often return to full function?

A

NO

49
Q

gamekeepers thumb is a sprain of the

A

sprain of UCL and MCP joint of thumb

50
Q

MOI of gamekeepers thumb

A

forceful ab duction of proximal phalanx, occasionally combined with hyper extension

51
Q

signs and symptoms of gamekeepers thumb:

A

pain over UCL in addition to weak and painful pinch

52
Q

management of gamekeepers thumb: if UNSTABLE

A

athlete should be referred to orthopedist

53
Q

management of gamekeepers thumb: if STABLE

A

x-ray should be performed to rule out fracture

54
Q

thumb splint should be applied for protection for

A

three weeks or until pain free

55
Q

the splint should extend from ________ to _________ in a _________ position

A

wrist, end of thumb, in a neutral position

56
Q

thumb spica should be used

A

following a splint for support

57
Q

Dislocation of phalange MOI

A

hyperextension or twisting in semi flexed

58
Q

signs and symptoms of phalange dislocation:

A
  • pain and swelling over PIP
    -obvious deformity,disability, and possible avulsion
59
Q

finger dislocation management: (if angulated or unstable)

A

-splint on field and transport secure

60
Q

how long does it take to recover finger dislocation?

A

-6 to 8 weeks

240 (4 decks)

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