Wrist & Hand injuries Flashcards
Most common wrist injuries
colles
Bartons
scaphoid fracture
common sprains
What should you examine with wrist injuries
elbow
What is a colles’ fracture
radius displace dorsally
outstretched arm at angle
what is smith’s fracture
radius displace volar
flexed wrist at angle
what is barton’s fractures
- radius head oblique fracture w/ shifts of lunate volar or dorsal
- fall on arm not at angle
What is concern with scaphoid fracture
due to radial recurrent blood supply portion of scaphoid distal to fracture can die if not fixed
snuff box tenderness txt
as if have fx splint RICE no NSAIDs no smoking repeat X-ray 7-10 days after advanced imaging if X-ray normal and still tender
what is Gamekeeper’s thumb
ulnar collateral ligament injury of thumb
types of gamekeeper’s thumb
osseous (sterner lesion)
non-osseous
Bennett’s fx txt
surgery
What is malrotation of the index finger
lose of stability
crosses over ring finger when make fist
metacarpal fx txt
single - splint
multiple - surgery
proximal phalanx fracture txt
surgery
boxer’s fracture txt
> 35% angulation = surgery
middle phalanx fx concern
bleeding cause stiffness
distal phalangeal fx txt
medication
do nothing
what is RA
autoimmune disease cause chronic inflammation of joints and synovial tissue
RA clinical signs
40 - 60 yrs ESR up CRP up FANA up Rh factor up
RA txt
NSAIDs
corticosteroids
DMARDS (inhibit tumor necrosis factor)
What are bouchard’s nodes
enlargement and lumps at PIP joints
What are herberden’s nodes
enlargement and lumps at DIP joints
What nodes are seen with OA
bouchard’s
herberden’s
