Wrist and hand practical manual

Question 1

Classification of radiocarpal joint?

Answer 1

Synovial, biaxial, complex, ellipsoid

Question 2

Classification of 1st carpometacarpal joint?

Answer 2

Synovial, biaxial, saddle, simple

Question 3

Classification of metacarpophalangeal joint?

Answer 3

Synovial, simple, biaxial, condyloid

Question 4

Classification of interphalangeal joint?

Answer 4

Synovial, simple, uniaxial, hinge

Question 5

Limiting factors to wrist flexion?

Answer 5

→ Dorsal radiocarpal lig.

→ Tension in extensor tendons
(extensor carpi ulnaris, extensor carpi radialis longus and brevis)

Question 6

Limiting factors to wrist extension?

Answer 6

→Palmar radiocarpal and ulnocarpal ligaments

→Tension in flexor tendons
(flexor carpi ulnaris and flexor carpi radialis)

Question 7

Limiting factors to radial deviation?

Answer 7

→ Ulnar collateral ligament
→ Apposition of scaphoid tubercle on radial styloid

Question 8

Limiting factors to Ulnar deviation?

Answer 8

→ Radial collateral ligament

Question 9

Limiting factors to CMC flexion?

Answer 9

→ Posterior oblique ligament

→ Tension in extensor muscles

→ Size/bulk of thenar eminence

Question 10

Limiting factors to CMC extension?

Answer 10

→ Anterior oblique ligament

→ Tension in flexor muscles

Question 11

Limiting factors to CMC abduction?

Answer 11

→ Tension in thumb web space

→ Adductor muscles

Question 12

Limiting factors to CMC adduction?

Answer 12

→ Approximation to 1st digit

Question 13

Limiting factors to MCP and IP flexion?

Answer 13

→ Collateral ligaments

→ Tension in extensor tendons

Question 14

Limiting factors to MCP and IP extension?

Answer 14

→ Palmar ligament
→ Tension in the flexor tendons

Question 15

Limiting factors to MCP and IP abduction?

Answer 15

→ Skin in web spaces of hand

→ Collateral ligament (dependent upon direction - opposite site)

Question 16

Limiting factors to MCP and IP adduction?

Answer 16

Contact with the next digit

Question 17

What does the palmar ligament do in the interphalangeal joints?

Answer 17

Increases the surface area of the base of the metacarpal

Question 18

Positive outcome of carpal compression test? (carpal tunnel syndrome)

Answer 18

Familiar symptoms of sensory pain are reproduced

Question 19

Positive outcome of phalen’s manoeuvre? (carpal tunnel syndrome)

Answer 19

The presence of familiar neurological symptoms such as sensory changes

Question 20

Positive outcome of finkelstein’s test?

Answer 20

Experience of familiar pain in the region of the anatomical snuffbox.

Indicates the presence of De Quervains’ Syndrome which is localised inflammation of the tendon sheath in first compartment of extensor retinaculum

Question 21

What is the purpose of finkelstein’s test?

Answer 21

Increase the mechanical stretch of the tendon sheath of extensor pollicis brevisn (EPB) and abductor pollicis longus (APL) which as situated in the first compartment of the extensor retinaculum at the level of the wrist.

Question 22

What does the AP of proximal and distal row of carpal bones mimick?

Answer 22

Wrist flexion

Question 23

What does the PA of proximal and distal row of carpals mimick?

Answer 23

Wrist extension

Question 24

What does a medial glide of the radiocarpal joint mimick?

Answer 24

Radial deviation

Question 25

What does a lateral glide of the radiocarpal joint mimick?

Answer 25

Ulna deviation

Question 26

Movements mimicking thumb flexion?

Answer 26

PA movement of:
→Carpometacarpal joint
→Metacarpophalangeal joints
→Interphalangeal joints

Question 27

Movements mimicking thumb extension?

Answer 27

AP movement of:
→ CMCJ
→ MCPJ
→IPJ

Question 28

Movements mimicking finger flexion?

Answer 28

PA movement of:
→ MCPJ
→ PIPJ
→ DIPJ

Question 29

Movements mimicking finger extension?

Answer 29

AP movement of:
→ MCPJ
→ PIPJ
→ DIPJ