wrist/hand

Question 1

movement of choice for CTS

Answer 1

wrist traction

Question 2

what is the MC direction for carpals to misalign

Answer 2

posterior

Question 3

what is the direction of carpal misalignment in CTS

Answer 3

anterior

Question 4

what is the best post check for wrist traction

Answer 4

fluid motion between the carpals

Question 5

where is the pain point for wrist traction

Answer 5

right over the carpal that’s misaligned

Question 6

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

Answer 6

prox row of carpals

Question 7

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

Answer 7

distal row of carpals

Question 8

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

Answer 8

extension and radial deviation

Question 9

what carpals do you test the scaphoid against for fluid motion

Answer 9

lunate, trapezium and trapeziod

Question 10

what are some ddx for trapezium-scaphoid subluxation

Answer 10

scaphoid fx, DJD, arthritis, subluxation

Question 11

what tendons make up the tunnel of dequervain

Answer 11

extensor polices brevis

abductor polices longus

Question 12

what makes up the carpal tunnel

Answer 12

lunate, transverse carpal ligament

Question 13

what are the contents of the carpal tunnel

Answer 13

9 flexor tendons and the median nerve

Question 14

1st metacarpal subluxation can be identified by

Answer 14

loss of fluid motion
point tenderness
case history

Question 15

what ROM is expected at the MC-C area

Answer 15

rotation

Question 16

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

Answer 16

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

Question 17

S/S of C-MC

Answer 17

pain over joint space

Question 18

expected ROM for MC-P and I-P

Answer 18

P-A and A-P, rotation

Question 19

why would you do MC-P joint traction

Answer 19

subluxation, jammed fingers, arthritic fingers. DJD

Question 20

is there a difference between arthritis and DJD

Answer 20

inflammation- deal with swelling first

Question 21

what ddx should be ruled out before adjusting scaphoid DTh

Answer 21

fxs, other subluxations

Question 22

name the wrist adjusting procedures from least to most invasive

Answer 22

wrist traction
single thumb
double thumb

Question 23

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

Answer 23

over the joint

Question 24

what direction does the 2nd C-MC MC subluxate

Answer 24

rotationally

Question 25

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

Answer 25

post-FM check

Question 26

which C-MC is the most mobile

Answer 26

5th

Question 27

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

Answer 27

subluxation, dislocation, jammed fingers, arthridities, DJD

Question 28

lunate MC misaligns in what direction

Answer 28

posterior

Question 29

is the lunate usually hyper mobile or hypo mobile in CTS

Answer 29

hypermobile

Question 30

MC wrist subluxation

Answer 30

lunate > capitate > scaphoid

Question 31

is the P lunate misalignment hyper mobile or hypomobile

Answer 31

hypomobile

Question 32

describe wrist traction maneuver for CTS

Answer 32

traction, flex, extend, back to neutral

Question 33

describe the wrist traction maneuver for subluxation

Answer 33

traction, flex, extend, back to neutral, release

Question 34

ddx for CTS

Answer 34

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

Question 35

name 2 tests to verify a positive tingle tap

Answer 35

Phalen's and english

Question 36

most important thing for Froment's test in a practical

Answer 36

be able to visualize whether a pt bends the thumb

Question 37

ways to verify positive Froment's

Answer 37

muscle wasting loss of strength EMG

Question 38

causes of ulnar nerve palsy

Answer 38

trauma to nerve or elbow subluxation

Question 39

2 reasons the English test works

Answer 39

hypoxia, pooling of blood

Question 40

move of choice for CTS

Answer 40

traction with only flexion

Question 41

which CTS test would you not do as a post check

Answer 41

reverse phalen's

Question 42

what can cause a positive Allen's

Answer 42

subluxation, raynaud's, old fxs, scar tissue

Question 43

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

Answer 43

when you release the blood supply after it has pooled

Question 44

best CTS post check

Answer 44

ortho tests that were originally positive

Question 45

what would you do after treating CTS

Answer 45

brace or support, strengthen

Question 46

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

Answer 46

traction, then single thumb, then DTh

Question 47

single thumb scaphoid procedure

Answer 47

traction, extend, radial deviation

Question 48

what to make sure of on DTh scaphoid

Answer 48

all fingers are stabilizing

Question 49

what stabilizes the radius on DTh scaphoid

Answer 49

pt's own body weight

Question 50

treatment for positive finkelstein's

Answer 50

ice, adjustment

Question 51

ddx for finkelstein's

Answer 51

scaphoid fx or subluxation

Question 52

2 positives and 2 indications of finkelsteins

Answer 52

unable to oppose thumb | pain

Question 53

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

Answer 53

only flexion

Question 54

what to do before adjusting scaphoid DTh

Answer 54

check for fx, try traction

Question 55

1st C-MC joint ddx possibilites

Answer 55

stenosing tenosynovitis, scaphoid fx, subluxations, median nerve

Question 56

where is the pain point for 2nd C-MC

Answer 56

over joint

Question 57

which C-MC is the most mobile

Answer 57

5th

Question 58

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

Answer 58

any fixation, subluxation, dislocation or arthritis