Wrist and Hand Fractures

Question 1

What is the most common fracture of all the fractures in the wrist and hand and typically occurs in biological women (middle aged or older)?

Answer 1

Colles

Question 2

What is the etiology of a colles fracture?

Answer 2

FOOSH

Question 3

What structure(s) are involved in a colles fracture?

Answer 3

Distal radius

Question 4

A colles fracture is typically within _____ cm of the wrist.

Answer 4

2.5

Question 5

The distal radius in a colles fracture is displaced _____ resulting in a _____ _____ deformity.

Answer 5

Displaced dorsally resulting in a “dinner fork” deformity

Question 6

What is a reverse colles fractrue/ smith fracture and how does it happen?

Answer 6

• Distal radius is displaced palmar
• Fall on the dorsum of the hand

Question 7

What is the most common carpal to be fractured?

Answer 7

Scaphoid

Question 8

What is the cause of a scaphoid fracture?

Answer 8

FOOSH

Question 9

What are the complications with a scaphoid fracture?

Answer 9

Avascular necrosis may be an issue in the Proximal and distal poles

Question 10

What are signs and symptoms of a scaphoid fracture?

Answer 10

• Pain at anatomic snuffbox is primary complaint
• Functional test: pain with thumb to index pinch (high sensitivity/ specificity)
• ROM: pain with wrist extension and pronation (both high sensitivity)
• Special tests: stethoscope test

Question 11

What is the most common fracture for fingers?

Answer 11

Boxer’s/ Fighter’s Fracture

Question 12

What is the most common fracture for the thumb?

Answer 12

Bennett’s Fracture

Question 13

What is a boxer’s/ fighter’s fracture?

Answer 13

• Neck of the 2nd, 3rd, 4th, and 5th metacarpal

Question 14

What is a bennett’s fracture?

Answer 14

Proximal 1st MC fracture

Question 15

What is the PT Rx for a fracture?