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Reminders! > Wrist/Hand > Flashcards

Wrist/Hand Flashcards

1
Q

Movement of wrist is usually initiated at

A

Distal carpal row

except flexion

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2
Q

Contents of carpal tunnel

A 
Median nerve
FDP
FDS
FPL
FCR
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3
Q

Thenar mm

A

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

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4
Q

Hypothenar mm

A

Abd DM
FDM
ODM

All ulnar

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5
Q

Lumbricals innervation

A

1-2 median

3-4 ulnar

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6
Q

FDProfundus

A

Digits 2 and 3 = median

4 and 5 = ulnar

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7
Q

FDSuperficialis

A

Median

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8
Q

___ degrees of ___ optimized length tension relationship for finger flexors

A

35 degrees of extension

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9
Q

Opening of hand sequence is

A

Proximal to distal

Distal to proximal with closing

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10
Q

ROM of wrist

A

80 flex
70
20
30

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11
Q

ROM of hand

A

flex 90, 100, 90

ext 40, 0, 10

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12
Q

DQ Tenosynovitis

A

Inflammation of EPB and AbPL

Test with Finkelsteins

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13
Q

RA

A 
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
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14
Q

OA

A

Impacts 1st CMC and DIPs

HerberDens nodes at DIPs

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15
Q

Snuff box

A

Close to index = EPL

Outside = AbPL and EPB

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16
Q

Wrist drop

A

From radial nerve injury

Extensors are not working

17
Q

Claw hand

A

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

18
Q

Ape hand

A

Loss of median nerve

Add innervated by ulnar so takes over and get thumb add

19
Q

Bishop deformity

A

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

20
Q

Hand of benediction

A

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

21
Q

TFCC test

A

Extend wrist and provide axial load to compress ulnar disc

22
Q

Murphys sign

A

lunate dislocation

23
Q

Median nerve tests

A

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

24
Q

Ulnar nerve tests

A

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

25
Q

Colles fx

A

Distal radius

Dinner fork

26
Q

Smiths fx

A

fall onto flexed wrist

radial fx

27
Q

Bennets fx

A

metacarpal

28
Q

Most common carpal fx

A

Scaphoid

Necrosis!

29
Q

Dupuytrens contracture

A

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

30
Q

Watsons

A

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

Reminders! (22 decks)

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