Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

MSK UQ > Wrist Hand B > Flashcards

Wrist Hand B Flashcards

1
Q

diabetes causes what kind of pattern of sensory problems

A

stocking glove

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what do u do if u see a volkmanns ischemic contracture

A

To ER right away

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

smith fx

A

flexion fx w/ volar displacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Colles’ fx

A

Extension frature w/ dorsal displacement

results in shortened of the arm!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the most commonly fxed carpal bone

A

scaphoid

MOI:Foosh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pt has pain in anatomical snuff box

A

send them for xray

possible fxed scaphoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

tx for scaphoid fx

A

cast for 6-8 weeks or surgical pinning

can take 8 weeks to 4 months to heal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

wrist pain on ulnar side w click/crepitus during forearm rotation and gripping

A

tfc tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

pt comes in with swollen hand and flexion contractures in hand wrist and fingers

A

VOLKMANNS!!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CPR for OA in the hand

A
  1. Hand pain and stiffness
  2. hand enlargement of 2+ joints and of 2nd and 3rd DIP and PIP and first CMC
  3. < 3 swollen MCPs
  4. Hard tissue enlargement of 2 or more DIP joints
  5. deformity of 2 or more selected joints
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

de quevarins effects what muscles?

A

APL and EPB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the MOI of dequirvains

A

repetitive overuse or direct trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pt has pain w active thumb abduction and passive adduction

TTP over radial styloid

A

De quervains

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the most commonly dislocated carpal bone?

A

lunate

tx: immobilize for 6-12 weeks

may take up to 1 year to heal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

heberdens node vs bouchards node

A

heberden: enlargement at DIP w/ OA

Bouchards node: enlargement at PIP w/ OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Heberdens Nodes and bouchards nodes are associated with

A

OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Swan neck deformity

boutineres deformity

trigger finger

are all associated with what condition

A

RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does swan neck present

A

MCP: flexion

PIP: ext

DIP: flex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how does boutonniere deformity present

A

MCP: ext

PIP: flex

DIP: ext

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

pt was grabbing something and it got pulled away from them and caused forced ext of the finger

A

jersey finger

avulsion of FDP tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

ulnar drift is a sign of

A

RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Ape hand is d/t what nerve problem

A

median N palsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What digits are affected in a boxer’s fracture

A

4th and/or 5th MC

24
Q

What kind of contracture is related to diabetes, often in digit 4/5 and is a contracture of the palmar fascia

A

Dupuytren’s contracture

25
What is the most common ligament injured in the hand
ulnar collateral ligament of the thumb
26
How does gamekeepers thumb happen What ligament does it affect how do you treat
forced abd and hyperext of thumb thumb UCL immobilize thumb 6-10 weeks
27
Neuropraxia vs Axonotmesis vs Neurotmesis Which is degenerative? Which is best? Which is worst?
Degenerative: axontemesis and Neurotmesis Best: Neuropraxia Worst: Neurotmesis
28
what is most commonly compressed in TOS
C8 T1
29
Cervical radiculopathy can affect what nerve roots
C5-T1
30
What is the difference between cervical radiculopathy and TOS?
Cervical radic- has DERMATOMAL and MYOTOMAL patterns
31
Pt has weakness of finger flexors, hand intrinsics, and numbness of medial forearm (ulnar side) and in the ring and little finger.
Potential neurogenic TOS remember that C8 T1 is most commonly compressed
32
What are the 3 most common sites of compression for thoracic outlet syndrome
Interscalene triangle costoclavicular space retropectoral space
33
What structures border the thoracic outlet
1st rib, clavicle, superior border of scapula, interscalene triangle
34
GH dislocation is most associated w/ what nerve injury
Axillary after a sublux, you might see a flat deltoid d/t axillary nerve injury
35
what is the most commonly injured peripheral nerve
radial N
36
Radial tunnel syndrome can be mistaken for what
lateral epicondylitis
37
What muscles do we use to test for radial tunnel syndrom
Extensor indicis or extensor pollicis longus
38
Radial tunnel syndrome happens where
B/t heads of the supinator
39
T or F: No Numbness or tingling can rule out a nerve problem
F, because there are nerves w/o sensory involvement
40
Pt with sensitivity just distal to lateral epicondyle deep extensor muscle weakness EPL,APB,EPB, EI
Radial tunnel syndrome
41
How do we treat radial tunnel syndrome
Contract relax technique of Supinator muscle to reduce supinator tone avoid resisted supination
42
How is pronator teres syndrome confirmed
Resisted pronation
43
How do we treat pronator teres syndrome
Contract-relax technique to pronator teres to reduce tone Avoid resisted pronation
44
Anterior Interosseus Nerve Syndrome will affect what muscles
FPL FDP Pronator quadratus (OK Sign)
45
Pt reports difficulty with fine motor tasks
AIS syndrome (OK sign)
46
How do we treat AIS?
Begin within 6 months of onset nerve glides, activity modification, flexor muscle stretching Surgical decompression- done within 8 months if conservative treatment doesnt work
47
Dx for carpal tunnel made with:
Phalen sign Tinel sign changes in median nerve sensory
48
activity related pain w/ dysthesia in radial 3.5 digits night pain and parasthesia
CTS
49
How do we treat CTS
Splinting nerve glides, stretching wrist ext and supinator grip strength symptom free joint mob
50
How does ape hand present (median nerve palsy)
Thumb in adduction Finger PIP ext at digit 2 and 3 May flex DIP of 4th and 5th but not 2nd and 3rd
51
Cubital tunnel syndrome involves what nerve
Ulnar N
52
How is cubital tunnel treated
Sleep orthotic or towel to prevent excessive elbow flexion neural gliding of ulnar N
53
repetitive/prolonged compress injury associated w/ cyclists in wrist flexion
ulnar nerve entrapment at guyons canal
54
how is ulnar nerve trapment of guyons canal diagnosed
Frommets sign, and sensory motor change to ulnar N
55
What is the hand position of claw hand (ulnar N)
Wasting of dorsal and palmar interossei (hand looks very very thin) 4th and 5th digit flex at PIP (unable to extend PIP/DIP unless MCP passively flexed)
56
When treating double crush, we want to address issues starting
proximally
57
For flexor tendon repairs we want to....
avoid active flexion initially avoid stretching into extension vice versa for extensor tendon repairs

MSK UQ (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions