Wrist/Hand Flashcards
Describe a FOOSH injury to the wrist
Describe the function of the scapholunate interosseous ligament (SLIL) and what happens if there is an injury to it
Describe the MOI for FOOSH on wrist
Describe carpal instability of the wrist
What movements cause discomfort of the scaphoid
- Compression of the wrist/scaphoid on palm of wrist
- Wrist extension with radial deviation
NOTE: If ganglion cyst is there it could cause pain and compression resulting in significant disability = may need to be surgically removed
Describe what we would find on clinical exam for carpal instability
Describe symptoms of carpal instability
What are the types of imaging that can be shown on the wrist (3 types) and what is the Terry Thomas Sign and Ring Sign
Describe scapholunate advanced collapse
Describe treatment for scapholunate advanced collapse
Describe a TFCC/DRUJ Injury
Describe the triangular fibrocartilage complex
List some differential diagnoses for ulnar sided wrist pain
Describe the treatment for DRUJ/TFCC injury
Describe the symptoms of a DRUJ injury
What does the DRUJ do, some clinical tests and treatment
Describe a scaphoid fracture
Describe the diagnosis for a scaphoid fracture
Describe the blood supply of the scaphoid
Describe the treatment for scaphoid fracture
Describe de quervains tenosynovitis
Describe the diagnosis for de quervains tenosynovitis
Describe the Finkelstein test for de quervains tenosynovitis
Describe treatment for de quervains tenosynovitis
What is 1st digit CMC osteoarthritis and some risk factors
What is the clinical presentation of 1st digit CMC osteoarthritis
Describe how to diagnose 1st digit CMC osteoarthritis
Describe treatment for 1st digit CMC osteoarthritis
Describe carpal tunnel syndrome
Describe risk factors for carpal tunnel syndrome
Describe the diagnosis of carpal tunnel syndrome and tests (2) physiotherapists could use to diagnose
NOTE: If patient says they have to wake up at night and shake their hands = carpal tunnel
Describe the CBG treatment for carpal tunnel syndrome
Is surgery needed for carpal tunnel syndrome
Where are areas to palpate along wrist/hand
Go look at acute wrist lecture 17 for anatomy and acute wrist cases
Distal radial fracture symptoms
What are early complications/adverse events for distal radius fracture
What are red flags for distal radius fracture
What outcome measures could you use for distal radial fracture
What is the PWRE V2
What is the quick dash
Should a baseline pain intensity score be used as a prognostic factor for distal radius fracture
Yes
What does the course of recovery look like for distal radial fracture
What should we consider when measuring change with pain and outcome measures for distal radial fracture
What are 2 other indicators of prognosis for distal radial fracture
What are other wrist fractures
What are the rehab/treatment classifications for distal radial fractures