Wrist & Hand Region Flashcards
Resting position of Distal RU joint
10 degrees Supination
CPP of Distal RU joint
5 degrees Supination
Resting position of RC joint
Neutral with slight ulnar deviation
CPP of RC joint
Extension with Radial Deviation
What type of joint is the Distal RU joint
Uniaxial Pivot Joint
What type of joint is the RC joint?
Biaxial ellipsoid joint
Resting position of Intercarpal joints
Neutral or slight flexion
CPP of Intercarpal joitns
Extension
Resting position of Midcarpal joint
Neutral or slight flexion with ulnar deviation
CPP of Midcarpal joint
Extension with Ulnar deviation
Resting position of MCP joints
Slight Flexion
CPP of MCP joints
Thumb: Full opposition
Fingers: Full flexion
Resting position of IP joints
Slight flexion
CPP of IP joints
Full extension
Most commonly fractured carpal bone
Scaphoid
Most commonly dislocated carpal bone
Lunate
Ape Hand deformity
Thenar Atrophy
Secondary to Median Nerve palsy
Bishop’s/Benediction’s Hand deformity
Hyperextension of the MCP
Flexion of the 4th & 5th finger
Medial lumbricals atrophy
Andre-Thomas Sign
Secondary to Ulnar Nerve Palsy
Claw Hand deformity
MCP Hyperextension
PIP & DIP Flexion
Secondary to paralysis of intrinsic muscles
“Intrinsic Minus Hand”
What nerve is affected during claw hand deformity?
Ulnar & Median Nerve
Wrist Drop deformity
Inability to actively extend fingers and hand
Secondary to Radial nerve paralysis
Osteoarthritic Nodes for PIP
Bouchard’s node
Osteoarthritic Nodes for DIP
Heberden’s node
Mallet Finger
DIP flexion
Rupture of extensor tendon at distal phalanx
Ulnar Drift deformity
Digits: Ulnar Deviation
Wrist: Radial Deviation
Zigzag deformity
CMC flexion
MCP hyperextension
Muscles affected in De Quervain’s Tenosynovitis
Abductor Pollicis Longus
Extensor Pollicis Brevis
Grasp that does not include the thumb
Hook Grasp
Grasp the wraps the hand around an object
Cylindrical grasp
Grasp that requires more opposition of the thumb
Spherical grasp
Estimated use of Pulp-to-Pulp pinch in ADLs
20%
Estimated use of Three lateral pinch in ADLs
20%
Estimated use of Five finger pinch in ADLs
15%
Estimated use of fist grip in ADLs
15%
Estimated use of cylindrical grip in ADLs
14%
Estimated use of hook grip in ADLs
2%
Estimated use of spherical grip in ADLs
4%
MCP Flexion, PIP Hyperextension, Flexion of DIP
Swan Neck deformity
MCP Flexion, PIP Hyperextension, Flexion of DIP
Swan Neck deformity
MCP Extension, PIP flexion, DIP Extension
Boutonniere Deformity