wrist/hand Flashcards
1
Q
scaphoid fx
A
90% of all carpal fx men 15-30 yo FOOSH w/ wrist hyperextension >95 on radial side fall backward w/ hand facing anteriorly local tenderness over scaphoid tubercle
2
Q
screen out scaphoid fx
A
compression test
tubercle tenderness
anatomical snuffbox tenderness
3
Q
carpal instability
A
foosh w/ hyperextended wrist fall on thenar - est, ulnar devotion w/ inter carpal supination radial sided wrist pain swelling tenderness loss of grip strength and loss of ROM
4
Q
repetitive hand movements/ vibration worse at night median nerve relief by shaking hand back and forth diminished hand sensation intermitten DM female
A
carpal tunnel
5
Q
carpal tunnel dsm/signs
A
wrist flexion, ext, gripping
atrophy and weakness of thenar muscles
decreased pinch, grip, light touch sensation
6
Q
carpal tunnel test
A
tinel phalen (flex) reverse phalen (ext) median nerve compression wrist flex w/ median nerve compression flick maneuver closed first/lumbrical provocation thenar atrophy reverse froments
7
Q
ulnar sided wrist pain
foosh w/ forearm pronation
tenderness and clicking w/ wrist movement
weak grip
A
TFCC disk injury
8
Q
TFCC disk injury tests
A
press test ulnomenscitriquetral dorsal glide figure 8 grip strength joint play
9
Q
women greater than 40 yo new computer user wrist pain radiating into forearm and thumb radial styloid tenderness/swelling first CMC abduction
A
dequervains tenosynovitis
10
Q
dequervains tenosynovitis tendons
A
APL
EPB
11
Q
dequervains tenosynovitis test
A
finkelstein’s
APL and EPB MMT
