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Patient Management II > Wrist and Hand Pathology & Special Tests > Flashcards

Wrist and Hand Pathology & Special Tests Flashcards

1
Q

Rheumatoid arthritis symptoms

A

inflammation of small joints, pain is symmetrical, morning stiffness greater than 1 hour

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2
Q

Rheumatoid arthritis special tests

A

-Observation of erythema and swelling multiple joints

-Progressive loss of Rom with change in biomechanics

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3
Q

osteoarthritis symptoms

A

-Pain increases with movement and improves with rest
-Morning stiffness less than 1 hour
-Reduced ROM of examination
-Crepitus may be present
-Bouchard’s and Heberden’s nodes (calcification)

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4
Q

Osteoarthritis special tests

A

-First CMC grind test
-Lever test
-MCP extension test
-Thumb ADD maneuver
-Thumb Exten maneuver
-Pain with ROM

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5
Q

volar plate injury (jammed finger) symptoms

A

-Pain
-Catching
-Localized bruising and swelling
-Hyperextension deformity > 15 degrees

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6
Q

volar plate injury (jammed finger) special tests

A

-Pain on palpation
-Hyperextension present

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7
Q

rupture of terminal phalangeal flexor (jersey finger) symptoms

A

-Pain
-Loss of DIP active flexion
-Swelling

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8
Q

rupture of terminal phalangeal flexor (jersey finger) special tests

A

-Pain on palpation
-Isolate DIP flexion, if ruptured, no contraction

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9
Q

Mallet finger (baseball finger)

A

-Pain distal phalanx
-Swelling
-Deformity (DIP in flexion)

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10
Q

Mallet finger (baseball finger) special tests

A

-Pain on palpation
-Isolate DIP extension, if ruptured, no contraction

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11
Q

Dequervain’s tenosynovitis

A

-Pain radial wrist
-Tenderness APL, EPB
-Swelling

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12
Q

Dequervain’s tenosynovitis special tests

A

-Palpation pain
-Pain on contraction
-Eichoff test
-Wrist hyperflexion and ABD test
-Finkelstein test

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13
Q

Ulnar nerve entrapment

A

-Pain and/ or paresthesias ulnar nerve distribution distal to Tunnel of Guyon

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14
Q

Ulnar nerve entrapment special tests

A
  • Tinel sign
  • Decreased sensation
    ulnar N. distribution
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15
Q

acute carpal tunnel syndrome

A
  • Paresthesia with repetitive finger motions (typing)
  • Numbness median nerve distribution at night
  • Symptoms decrease with shaking hands
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16
Q

subacute carpal tunnel syndrome

A
  • Paresthesia
  • Weakness with fine motor activities
17
Q

chronic carpal tunnel syndrome

A
  • Muscle wasting thenar eminence
18
Q

carpal tunnel syndrome special tests

A

-Phalens
-Reverse Phalens
-Carpal compression
-Wrist ratio (>.67)
-Sensory loss median nerve distribution
-CTQ-SSS >1.9
-Grip Strength

19
Q

TFCC tear

A

-Pain ulnar side of wrist – can be very diffuse
-May have popping/ clicking/ catching with pro/supination
-Pain with power grip

20
Q

TFCC tear special tests

A

-Hypersupination painful
-Press test

21
Q

scaphoid fracture symptoms

A

-Pain radial side of wrist
-Pain with loading of UE (weight bearing)

22
Q

scaphoid fracture special tests

A

-Snuff box tenderness on palpation
-Scaphoid compression tenderness
- pain with resisted supination
-Scaphoid fracture test

23
Q

phalangeal fractures

A

-Pain at fracture location
-Swelling and discoloration
-Pain with movement
-Deformity may be present if displaced

24
Q

phalangeal fractures special tests

A

-Pain with palpation
-Pain with compression

25
Q

distal radius fractures

A

-Pain distal wrist
-Pain with movement
-Swelling
-Deformity present if displaced

26
Q

distal radius fractures special tests

A

-Pain with palpation
-Pain with movement

27
Q

RHEUMATOID ARTHRITIS RISK FACTORS

A

Ratio of women to men 3:1
Most present between 20-40 years

28
Q

OSTEOARTHRITIS RISK FACTORS

A

Age greater than 60
Risk factors: Obesity, previous trauma and overuse

29
Q

VOLAR PLATE INJURY (JAMMED FINGER) RISK FACTORS

A

Associated with trauma- hyperextension PIP joint

30
Q

RUPTURE OF TERMINAL PHALANGEAL FLEXOR (JERSEY FINGER) RISK FACTORS

A

Associated with trauma-passive extension of the while FDP is contracting

31
Q

MALLET FINGER (BASEBALL FINGER) RISK FACTORS

A

Associated with trauma-strike to tip of finger forcing hyperflexion

32
Q

DEQUERVAIN’S TENOSYNOVITIS RISK FACTORS

A

Idiopathic, may be related to repetitive thumb movements

33
Q

ULNAR NERVE ENTRAPMENT RISK FACTORS

A

Idiopathic, may be associated with compression with vibration

34
Q

CARPAL TUNNEL SYNDROME RISK FACTORS

A

Age greater than 45
Associated with repetitive motion, increased size of wrist bones

35
Q

TFCC TEAR RISK FACTORS

A

Associated with trauma-fall on outstretched hand
(FOOSH)

36
Q

SCAPHOID FRACTURE RISK FACTORS

A

Associated with trauma-fall on outstretched hand (FOOSH)

37
Q

PHALANGEAL FRACTURES RISK FACTORS

A

Associated with trauma

38
Q

DISTAL RADIUS FRACTURES RISK FACTORS

A

Associated with trauma,
Fall on outstretched hand (FOOSH)

Patient Management II (8 decks)

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