Wrist Comp Flashcards

1
Q

Small chip fractures may occur near where?

A

Joint spaces

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2
Q

Which carpals articulate with which metacarpals?

A

Trapezium: 1
Trapezoid: 2
Capitate: 3
Hamate: 4 and 5

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3
Q

Largest proximal carpal?

A

Scaphoid (navicular)

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4
Q

What does the scaphoid articulate with proximally?

A

The radius

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5
Q

Most frequently fracture carpal bone?

A

Scaphoid

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6
Q

What carpals does the radius articulate with?

A

Scaphoid and lunate

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7
Q

What is the deep concavity on the distal surface of the lunate for?

A

Where is articulates with the capitate

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8
Q

Pyramidal shaped carpal?

A

Triquetrum

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9
Q

What does the triquetrum articulate with anteriorly?

A

The pisiform

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10
Q

Where is the pisiform in relation to the triquetrum?

A

Anterior

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11
Q

In what view is the pisiform most evident?

A

The carpal sulcus view

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12
Q

Where is the trapezium in relation to the scaphoid??

A

Medial and distal

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13
Q

Wedge shaped carpal?

A

Trapezoid

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14
Q

Smallest distal carpal?

A

Trapezoid

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15
Q

Hook like process of the hamate? Where does it project from?

A

Hamulus projects from the palmar surface

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16
Q

What passes through the carpal sulcus (carpal tunnel)?

A

Major nerves and tendons

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17
Q

Carpal sulcus view best demonstrates what?

A

Pisiform and hamulus

Trapezium and its relationship to the thumb

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18
Q

Which styloid process extends more distally?

A

Radial styloid process

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19
Q

Head of the ulna fits into the ______ of the radius?

A

Ulnar notch

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20
Q

Ulnar head and styloid process are easily felt when hand is ______?

A

Pronated

21
Q

All joints of the upper limb are classified as?

A

Synovial, diarthrodial (freely movable)

22
Q

1 CMC joint type and movement

A
  • Sellar/saddle

- flexion/extension, abduction/adduction, circumduction, opposition, and rotation

23
Q

2-5 CMC joint type and movement

A
  • plane/gliding
  • flat or slightly curved, movement limited by tight fibrous capsule
  • least movable
24
Q

Least movable joints?

A

2-5 CMC joints

25
Q

Intercarpal joint type and movement

A

-plane/gliding

26
Q

Wrist joint type and movement

A

-ellipsoidal/condyloid (most freely movable)

27
Q

What is the articulation between the radius, scaphoid, and lunate called?

A

Radiocarpal joint

28
Q

What is part of the total wrist articulation including the distal radioulnar joint?

A

Articular disc

29
Q

What is opposite the articular disc?

A

Triquetrum

30
Q

What is the wrist joint? (Formed by)

A

Distal radius and articular disc form a concave shape that articulates with the scaphoid, lunate, and triquetrum

31
Q

Movement of wrist joint?

A

4 directions plus circumduction

32
Q

What do the wrist ligaments do?

A

Stabilize the wrist joint

33
Q

Wrist ligaments?

A

-Ulnar collateral ligament
-Radial collateral ligament
-5 additional
(Dorsal radiocarpal, palmar radiocarpal, triangular fibrocartilage complex TFCC, scapholunate, lunotriquetral)

34
Q

Ulnar deviation best demonstrates?

A

Scaphoid
Trapezium
Trapezoid

35
Q

Radial deviation best demonstrates?

A

Pisiform
Triquetrum
Lunate
Hamate

36
Q

Extrasynovial?

A

Outside the synovial sac, but within the joint capsule

37
Q

Fat strips?

A
  • Scaphoid fat stripe

- Pronator fat stripe

38
Q

Scaphoid fat stripe best demonstrated on what views?

A

PA and oblique

39
Q

Pronator fat stripe best demonstrated on what views?

A

Lateral

40
Q

Where is the scaphoid fat stripe located?

A

Between the radial collateral ligament and adjoining muscle tendons lateral to scaphoid

41
Q

Where is the pronator fat stripe located?

A

1cm anterior to radius

42
Q

If seen, what do fat stripes demonstrate?

A

Fractures, pathologies

43
Q

Barton’s fracture?

A

Fracture and dislocation of the posterior lip of the distal radius

44
Q

Bennett’s fracture?

A

Fracture of the base of the 1st metacarpal, subluxation and posterior displacement

45
Q

Colle’s fracture

A

Fracture of the distal radius with posterior displacement of the distal fragment FOOSH

46
Q

Smith’s fracture?

A

Fracture of the distal radius with anterior displacement of the distal fragment

47
Q

Bursitis?

A

Inflammation of the bursa

48
Q

Carpal tunnel syndrome?

A

Compression of the medial nerve as it passes through the center of the wrist

49
Q

Skier’s thumb?

A

Sprain or tear of the ulnar collateral ligament of thumb
PA stress views of bilateral thumb
Folio