Wrist & Hand injuries

Question 1

Most common wrist injuries

Answer 1

colles
Bartons
scaphoid fracture
common sprains

Question 2

What should you examine with wrist injuries

Answer 2

elbow

Question 3

What is a colles’ fracture

Answer 3

radius displace dorsally

outstretched arm at angle

Question 4

what is smith’s fracture

Answer 4

radius displace volar

flexed wrist at angle

Question 5

what is barton’s fractures

Answer 5

• radius head oblique fracture w/ shifts of lunate volar or dorsal
• fall on arm not at angle

Question 6

What is concern with scaphoid fracture

Answer 6

due to radial recurrent blood supply portion of scaphoid distal to fracture can die if not fixed

Question 7

snuff box tenderness txt

Answer 7

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

Question 8

what is Gamekeeper’s thumb

Answer 8

ulnar collateral ligament injury of thumb

Question 9

types of gamekeeper’s thumb

Answer 9

osseous (sterner lesion)

non-osseous

Question 10

Bennett’s fx txt

Answer 10

surgery

Question 11

What is malrotation of the index finger

Answer 11

lose of stability

crosses over ring finger when make fist

Question 12

metacarpal fx txt

Answer 12

single - splint

multiple - surgery

Question 13

proximal phalanx fracture txt

Answer 13

surgery

Question 14

boxer’s fracture txt

Answer 14

> 35% angulation = surgery

Question 15

middle phalanx fx concern

Answer 15

bleeding cause stiffness

Question 16

distal phalangeal fx txt

Answer 16

medication

do nothing

Question 17

what is RA

Answer 17

autoimmune disease cause chronic inflammation of joints and synovial tissue

Question 18

RA clinical signs

Answer 18

40 - 60 yrs
ESR up
CRP up
FANA up
Rh factor up

Question 19

RA txt

Answer 19

NSAIDs
corticosteroids
DMARDS (inhibit tumor necrosis factor)

Question 20

What are bouchard’s nodes

Answer 20

enlargement and lumps at PIP joints

Question 21

What are herberden’s nodes

Answer 21

enlargement and lumps at DIP joints

Question 22

What nodes are seen with OA

Answer 22

bouchard’s

herberden’s