Wrist and Hand disorders

Question 1

Carpal tunnel syndrome - is what

Answer 1

compression of the median nerve at the carpal tunnel of the wrist due to inflammation of the flexor tendons and/or median nerve

Question 2

Carpal tunnel syndrome commonly occurs with

Answer 2

rep. gripping
pregnancy
diabetes
RA

Question 3

de Quarvain’s tenosynovitis - is what

Answer 3

inflammation of extensor pollicis brevis and abductor pollicis longus tendons at first dorsal compartment

Question 4

de Quarvain’s tenosynovitis - occurs from what

Answer 4

repetitive microtrauma or as a complication of swelling with pregnancy

Question 5

Most common wrist fracture

Answer 5

Colle’s fracture

Question 6

Colle’s fracture usually occurs from what

Answer 6

Fall onto outstretched UE

Question 7

Colle’s fracture will be immobilized for how long

Answer 7

5 to 8 weeks

Question 8

Colle’s fracture - characteristic ___ deformity results from ___

Answer 8

dinner fork deformity

dorsal or post displacement of distal fragment of radius with a radial shift of wrist and hand

Question 9

Smith’s fracture - what is it

Answer 9

Distal fragment of radius dislocates in a volar direction causing a characteristic “garden spade” deformity

Question 10

Most common carpal fracture

Answer 10

Scaphoid

Question 11

Scaphoid fracture results from

Answer 11

fall onto outstretch UE in a younger person

Question 12

Scaphoid fracture - complication

Answer 12

High incidence of avascular necrosis of proximal fragment of scaphoid because of poor vascular supply

Question 13

Scaphoid fracture - immobilized for how long

Answer 13

4-8 weeks

Question 14

Dupuytren’s contracture is obbserved as

Answer 14

banding on palm and digit flexion contractures - resulting from contracture of palmar fascia that adheres to skin

Question 15

Dupuytren’s contracture - who does it affect more

Answer 15

men

Question 16

Dupuytren’s contracture - contracture usually affects the

Answer 16

MCP and PIP joints of the 4th and 5th digits in nondiabetics
3rd and 4th in those with diabetes

Question 17

Boutonniere deformity - results from what

Answer 17

rupture of central tendinous slip of extensor hood

Question 18

Boutonniere deformity - observed deformity is what

Answer 18

extension of MCP and DIP with flexion of PIP

Question 19

Boutonniere deformity usually occurs from

Answer 19

trauma

or in RA with degeneration of central extensor tendon

Question 20

Swan neck deformity - results from

Answer 20

contracture of intrinsic mm with dorsal subluxation of lateral extensor tendons

Question 21

Swan neck deformity - observed deformity is what

Answer 21

flexion of MCP and DIP with extension of PIP

Question 22

Swan neck deformity - commonly occurs from

Answer 22

trauma

with RA following degeneration of lateral extensor tendons

Question 23

Ape hand deformity - observed as

Answer 23

thenar mm wasting with first digit moving dorsally unitl it is in line with second digit

Question 24

Ape hand deformity - results from

Answer 24

median nerve dysfunction

Question 25

Mallet finger is what

Answer 25

rupture or avulsion of extensor tendon at its insertion into distal phalanx of digit

Question 26

Mallet finger - observed deformity is what

Answer 26

flexion DIP joint

Question 27

Mallet finger usually occurs from

Answer 27

trauma forcing distal phalanx into flexed position

Question 28

Gamekeeper’s thumb - is what

Answer 28

a sprain/rupture of ulnar collateral ligament of MCP joint of first digit
Results in medial instability of thumb

Question 29

Gamekeeper’s thumb - immobilized for how long

Answer 29

6 weeks

Question 30

Boxer’s fracture is what

Answer 30

Fracture of neck of fifth metacarpal

Question 31

Boxer’s fracture - casted for how long

Answer 31

2-4 weeks