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extremities- Sorgenfrey > wrist/hand > Flashcards

wrist/hand Flashcards

1
Q

movement of choice for CTS

A

wrist traction

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2
Q

what is the MC direction for carpals to misalign

A

posterior

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3
Q

what is the direction of carpal misalignment in CTS

A

anterior

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4
Q

what is the best post check for wrist traction

A

fluid motion between the carpals

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5
Q

where is the pain point for wrist traction

A

right over the carpal that’s misaligned

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6
Q

what are your fingers on the SH stabilizing during capitate single-thumb

A

prox row of carpals

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7
Q

what are your fingers on your CH stabilizing during capitate single thumb

A

distal row of carpals

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8
Q

what ROM do you take the pt’s hand through while doing scaphoid double thumb

A

extension and radial deviation

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9
Q

what carpals do you test the scaphoid against for fluid motion

A

lunate, trapezium and trapeziod

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10
Q

what are some ddx for trapezium-scaphoid subluxation

A

scaphoid fx, DJD, arthritis, subluxation

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11
Q

what tendons make up the tunnel of dequervain

A

extensor polices brevis

abductor polices longus

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12
Q

what makes up the carpal tunnel

A

lunate, transverse carpal ligament

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13
Q

what are the contents of the carpal tunnel

A

9 flexor tendons and the median nerve

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14
Q

1st metacarpal subluxation can be identified by

A

loss of fluid motion
point tenderness
case history

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15
Q

what ROM is expected at the MC-C area

A

rotation

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16
Q

how would you test for a C-MC 2nd-5th subluxation

A

stabilize the distal row of carpals and rotate the MCs for FM

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17
Q

S/S of C-MC

A

pain over joint space

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18
Q

expected ROM for MC-P and I-P

A

P-A and A-P, rotation

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19
Q

why would you do MC-P joint traction

A

subluxation, jammed fingers, arthritic fingers. DJD

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20
Q

is there a difference between arthritis and DJD

A

inflammation- deal with swelling first

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21
Q

what ddx should be ruled out before adjusting scaphoid DTh

A

fxs, other subluxations

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22
Q

name the wrist adjusting procedures from least to most invasive

A

wrist traction
single thumb
double thumb

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23
Q

where is the pain point for the 1st C-MC joint

A

over the joint

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24
Q

what direction does the 2nd C-MC MC subluxate

A

rotationally

25
Q

what is the best way to post-check the 2nd C-MC

A

post-FM check

26
Q

which C-MC is the most mobile

A

5th

27
Q

what type of joint pathologies are MC-P and I-P traction good for

A

subluxation, dislocation, jammed fingers, arthridities, DJD

28
Q

lunate MC misaligns in what direction

A

posterior

29
Q

is the lunate usually hyper mobile or hypo mobile in CTS

A

hypermobile

30
Q

MC wrist subluxation

A

lunate > capitate > scaphoid

31
Q

is the P lunate misalignment hyper mobile or hypomobile

A

hypomobile

32
Q

describe wrist traction maneuver for CTS

A

traction, flex, extend, back to neutral

33
Q

describe the wrist traction maneuver for subluxation

A

traction, flex, extend, back to neutral, release

34
Q

ddx for CTS

A

subluxation, pronator teres syndrome, TOS, Raynaud’s, tenosynovitis

35
Q

name 2 tests to verify a positive tingle tap

A

Phalen’s and english

36
Q

most important thing for Froment’s test in a practical

A

be able to visualize whether a pt bends the thumb

37
Q

ways to verify positive Froment’s

A

muscle wasting
loss of strength
EMG

38
Q

causes of ulnar nerve palsy

A

trauma to nerve or elbow subluxation

39
Q

2 reasons the English test works

A

hypoxia, pooling of blood

40
Q

move of choice for CTS

A

traction with only flexion

41
Q

which CTS test would you not do as a post check

A

reverse phalen’s

42
Q

what can cause a positive Allen’s

A

subluxation, raynaud’s, old fxs, scar tissue

43
Q

when will you most often see a positive reaction in english test

A

when you release the blood supply after it has pooled

44
Q

best CTS post check

A

ortho tests that were originally positive

45
Q

what would you do after treating CTS

A

brace or support, strengthen

46
Q

FM lost between scaphoid and lunate- what is the move of choice

A

traction, then single thumb, then DTh

47
Q

single thumb scaphoid procedure

A

traction, extend, radial deviation

48
Q

what to make sure of on DTh scaphoid

A

all fingers are stabilizing

49
Q

what stabilizes the radius on DTh scaphoid

A

pt’s own body weight

50
Q

treatment for positive finkelstein’s

A

ice, adjustment

51
Q

ddx for finkelstein’s

A

scaphoid fx or subluxation

52
Q

2 positives and 2 indications of finkelsteins

A

unable to oppose thumb

pain

53
Q

with hyper mobile anterior lunate, how do you do wrist traction

A

only flexion

54
Q

what to do before adjusting scaphoid DTh

A

check for fx, try traction

55
Q

1st C-MC joint ddx possibilites

A

stenosing tenosynovitis, scaphoid fx, subluxations, median nerve

56
Q

where is the pain point for 2nd C-MC

A

over joint

57
Q

which C-MC is the most mobile

A

5th

58
Q

MC-P and I-P traction- what type of joint pathologies is it good for

A

any fixation, subluxation, dislocation or arthritis

extremities- Sorgenfrey (8 decks)

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