Wrist/Hand

Question 1

Movement of wrist is usually initiated at

Answer 1

Distal carpal row

except flexion

Question 2

Contents of carpal tunnel

Answer 2

Median nerve
FDP
FDS
FPL
FCR

Question 3

Thenar mm

Answer 3

APB (med)
OP (med)
FPB (med)
ADDP (ulnar inn)

Question 4

Hypothenar mm

Answer 4

Abd DM
FDM
ODM

All ulnar

Question 5

Lumbricals innervation

Answer 5

1-2 median

3-4 ulnar

Question 6

FDProfundus

Answer 6

Digits 2 and 3 = median

4 and 5 = ulnar

Question 7

FDSuperficialis

Answer 7

Median

Question 8

___ degrees of ___ optimized length tension relationship for finger flexors

Answer 8

35 degrees of extension

Question 9

Opening of hand sequence is

Answer 9

Proximal to distal

Distal to proximal with closing

Question 10

ROM of wrist

Answer 10

80 flex
70
20
30

Question 11

ROM of hand

Answer 11

flex 90, 100, 90

ext 40, 0, 10

Question 12

DQ Tenosynovitis

Answer 12

Inflammation of EPB and AbPL

Test with Finkelsteins

Question 13

RA

Answer 13

Affects MCPs and PIPs
Bouchards nodes on PIPs
Swan neck (PIP hyperext, DIP flex) rupture volar plate
Boutonniere deformity (PIP flex, DIP ext) rupture extensor mechanism

Question 14

OA

Answer 14

Impacts 1st CMC and DIPs

HerberDens nodes at DIPs

Question 15

Snuff box

Answer 15

Close to index = EPL

Outside = AbPL and EPB

Question 16

Wrist drop

Answer 16

From radial nerve injury

Extensors are not working

Question 17

Claw hand

Answer 17

Median and ulnar nerve are out
Lose all intrinsics
Can extend all - EXCEPT IPs (because of loss in intrinsics)
Intrinsic minus hand can happen from Volkmans Ischemic Contracture

Question 18

Ape hand

Answer 18

Loss of median nerve

Add innervated by ulnar so takes over and get thumb add

Question 19

Bishop deformity

Answer 19

AKA ulnar claw
Ulnar nerve issue!!!
You see it when you ask them to OPEN their hand!!!
Median works, but ulnar does not

Question 20

Hand of benediction

Answer 20

MEDIAN nerve issue!
You see it when you ask them to CLOSE their hand!
Ulnar works to close, but median does not
Lose 1st and 2nd lumbricals and FDP of the first two digits

Question 21

TFCC test

Answer 21

Extend wrist and provide axial load to compress ulnar disc

Question 22

Murphys sign

Answer 22

lunate dislocation

Question 23

Median nerve tests

Answer 23

Tinels
Phelans (1 min)
Pinch test (FDP, FPL)

Question 24

Ulnar nerve tests

Answer 24

Tinel
Fromets (ADP - piece of paper)
Wartenburg (Add 5th)

Question 25

Colles fx

Answer 25

Distal radius

Dinner fork

Question 26

Smiths fx

Answer 26

fall onto flexed wrist

radial fx

Question 27

Bennets fx

Answer 27

metacarpal

Question 28

Most common carpal fx

Answer 28

Scaphoid

Necrosis!

Question 29

Dupuytrens contracture

Answer 29

proliferation of palmar fascia - adheres 4th and 5th digit

Question 30

Watsons

Answer 30

(scaphoid shift - ext and uln dev then flex and rad dev)