Wrist/Hand Flashcards
distal radius fx w dorsal wrist displacement
Colles
distal radius fx with volar displacement
Smith
Distral radius fx that is intra-articular with dislocation of the metacarpal joint
Barton
4th 5th metacarpal fx
Boxer
Base of the metacarpal at the thumb with dorsal displacement/dislocation
Bennett
injury to the UCL of the thumb
Skier/Gamekeeper
Ext tear at the DIP of the finger
Mallet
Flexor tear at DIP
Jersey
rupture of the central tendon slip that results in DIP ext, MCP ext and PIP flexion
Boutonniere
Volar plate injury that results in DIP flexion, MCP flexion and PIP extension
swan neck
AVN of the lunate
Kienbock
AVN of scaphoid
Preiser’s
what goes through the carpal tunnel
FDS, FDP,FPL, median nerve
CPR for CTS
Shaking hands relieves sx, > 45 yo, Sx severoty scale >1.9, wrist ratio index > .67 (more round of wrist), diminished sensation in median sensory field (thumb)
Zone 1 of flexor
distal to FDS insertion - jersey finger
zone 2 of flexor
FDS insertion to distal palmar crease/proximal to A1 pulley - usually poor outcomes
zone 3 of flexor
Palm (A1 pulley to distal aspect of carpal ligament) - good outcomes due to lack of retinacular structures - may require A1 pulley release
Zone 4 of flexor
Carpal Tunnel
Zone 5 of flexor
Carpal Tunnel to forearm