Wrist Complaint

Question 1

What are some things to palpate?

Answer 1

Palmer fascia, carpal bones, snuff box

Question 2

Make sure to inspect?

Answer 2

Both palmar and dorsal aspects

Question 3

Wrist flexion

Answer 3

80-90

Question 4

Wrist extension

Answer 4

70

Question 5

Ulnar deviation

Answer 5

30-40

Question 6

Radial deviation

Answer 6

20-30

Question 7

What does carpal tunnel syndrome affect?

Answer 7

Median nerve entrapment

Question 8

Symptoms of carpal tunnel syndrome

Answer 8

Pain and paresthesia along first 3.5 fingers!!

Question 9

What does Dequervain Tenosynovitis affect?

Answer 9

Inflammation of the tendons of abductor pollicis longus and extensor pollicis brevis in the snuff box

Question 10

Pain is where with Dequervain Tenosynovitis?

Answer 10

Base of thumb on radial aspect of wrist

Question 11

Dinner fork fracture that is common in young athletes or elderly women with osteoarthritis from a FOOSH

Answer 11

Colle’s fracture

Question 12

A fracture that includes tenderness of the snuff box, can also be from a FOOSH

Answer 12

Scaphoid fracture - poor blood supply

Question 13

Tinel test is testing for?

Answer 13

Carpal tunnel syndrome

Question 14

Describe the tinel test

Answer 14

Tap over transverse carpal ligament

+) = pain/paresthesia or tingling down median nerve (3.5 fingers

Question 15

Phalen’s sign is testing for?

Answer 15

Carpal tunnel syndrome

Question 16

Describe the Phalen’s sign

Answer 16

Have pt place dorsal aspects of hands together and make sure wrists are flexed and then hold for 60 seconds
(+) = pain/paresthesia or tingling down median nerve (first 3.5 fingers)

Question 17

Finkelstein test is testing for?

Answer 17

DeQuervain’s Tenosynovitis

Question 18

Describe the set up for the Finkelstein test

Answer 18

Make a first with thumb encompassed and then ulnar deviate

(+) = pain in snuff box area of lateral wrist

Question 19

Describe wrist isotonic MET

Answer 19

Physician crosses thumbs and places on scaphoid and pisiform and applies a lateral force while the pt flexes wrist and overcomes counterforce
- isokinetic strengthening

Question 20

Describe Figure 8 wrist articulation

Answer 20

Pt places wrist perpendicularly between physician’s hands and the physician articulates the wrist in a figure 8 pattern until the SD is alleviated