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pt musculo2 > Wrist/Hand / Test 3 > Flashcards

Wrist/Hand / Test 3 Flashcards

1
Q

Pain over radial styloid process with gripping activities

A

dequervain’s syndrome

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2
Q

Insidious onset numbness and tingling in 1st three fingers worse at night

A

carpal tunnel

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3
Q

Paresthesia over dorsal aspect of ulnar border of hand and digit 4-5

A

ulnar compression at guyon tunnel

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4
Q

Inability to extend MCP or PIP joint

A

Dupuytren’s contracture

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5
Q

Pain with loading of wrist, fall on hyper extended wrist

A

scaphoid fracture instability

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6
Q

two ways to measure edema of hand

A

figure 8 tape measure, volumetric (water)

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7
Q

protective shield of nail

A

nail plate

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8
Q

root of nail, produces keratin that makes nail plate

A

matrix

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9
Q

protect the matrix, there are proximal and lateral

A

nail folds

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10
Q

part of nail that acts as a barrier seal to bacteria

A

eponychium

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11
Q

true cuticle of nail that is dead skin cells attached to nail plate from the nail fold

A

ptygerium

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12
Q

part of nail that is the front end of the matrix. keratin cells have not yet flattened

A

lunula

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13
Q

pulmonary disease characterized by a convex nail

A

club nail

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14
Q

loosening of nail plate that can be from graves disease, psoriasis, reactive arthritis

A

onycholysis

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15
Q

aka spoon nail, characterized by concave nail from psoriasis, syphilis, thyroid dysfunction, rheumatic fever

A

koilonychia

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16
Q

acute systemic illness, can be from local trauma or result from chemotherapy that shows lines on nails

A

beau’s lines

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17
Q

heart attack, endocarditis, vasculitis, and renal failure can cause tiny bloody cracks in nails called blank

A

splinter hemorrhages

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18
Q

white nail syndrome from arsenal poisining, renal failure, malnutrition

A

leukonychia

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19
Q

normal wrist extension

A

20 to 35

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20
Q

normal ulnar deviation

A

10-15

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21
Q

radioulnar joint
resting position:
close pack position:
capsular pattern:

A

10 supination
5 supination
pain at extreme of rotation

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22
Q

radiocarpal joint
resting position:
close pack position:
capsular pattern:

A

neutral w/ slight ulnar dev
extension
flex/ext equally limited

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23
Q

intercarpal joint
resting position:
close pack position:
capsular pattern:

A

neutral/slight flexion
extension
none

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24
Q

midcarpal joint
resting position:
close pack position:
capsular pattern:

A

neutral/slight flexion
extension/ulnar deviation
limited flex/ext

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25
Q

stable segment of hand

A

distal carpal row and 2/3 metacarpals

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26
Q

mobile segment of hand

A

five phalanges and 1,4,5 metacarpals

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27
Q

there is flexion of mcp/dip and extension of pip in this finger deformity

A

swan neck

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28
Q

extension of mcp and dip, flexion of pip in this finger deformity

A

boutonniere

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29
Q

thickening of flexor tendon sheath

A

trigger finger

30
Q

finger deformity that is a loss of intrinsic mm action and over dominance of extrinsic extensors acting on proximal phalanx. only median or ulnar nerve

A

claw fingers

31
Q

finger deformity that is wasting of hypothenar muscle, interossei, two medial lumbricals (ulnar nerve paralysis)

A

bishops/benediction hand

32
Q

wasting of thenar eminance from median nerve paralysis where thumb falls back in line with fingers due to pull of extensor muscles in this deformity

A

ape hand

33
Q

finger deformity that is distal phalanx resting in flexion

A

mallet finger

34
Q

contracture of palmar fascia that causes fixed 4th/5th digit mostly in older men

A

duputren’s contracture

35
Q

paralysis of extensor muscle from radial nerve paralysis

A

drop wrist

36
Q

thumb flexed at mcp and extended at ip (ra or heredity)

A

z deformity

37
Q

osteoarthritic enlargement of PIP

A

bouchard’s nodes

38
Q

osteoarthritic enlargement of DIP

A

heberden’s nodes

39
Q

movements of wrist that should be harder end feel rather than firm

A

pronation, radial deviation

40
Q

A passive loss of motion in a ratio that occurs when the capsular ligament of a joint loses its elasticity uniformly throughout its full extent. The ratio is specific for each different joint.

A

capsular pattern

41
Q

capsular pattern is full rom with pain at extreme of supination/pronation

A

distal radioulnar joint

42
Q

capsular pattern is equal limitation of flexion/extension

A

wrist

43
Q

capsular pattern is flexion more limited than extension

A

mcp/ip joints

44
Q

capsular pattern is abduction more limited than extension

A

trapeziometacarpal joint of thumb

45
Q

loss of hand accounts for what percent loss of function

A

90

46
Q

aka preparatory nerve that positions wrist and controls tension in digital flexors

A

radial

47
Q

aka power nerve that innervates abductor digiti minimi, flexor digiti minimi…..

A

ulnar nerve

48
Q

nerve that provides ability for precision manipulation.

A

median nerve

49
Q

two grip strength tests

A

dynamometer, pinch meter

50
Q

↓capsulolig extensibility
↓muscle flexibility
↓ capsulolig restraint
indicate blank

A

passive inadedquacy

51
Q

Tissue reactivity
↓ muscular contractility
↓ motor control
indicate blank

A

active inadequacy

52
Q

two pulleys of the fingers

A

annular, cruciate

53
Q

annular pulley of fingers are usually at blank

A

joints

54
Q

cruciate pulleys are where

A

on bones not at joints in fingers

55
Q

without pulley system there would be a blank causing excessive extension of finger

A

bowstring effect

56
Q

swan neck deformity is flexion of these two joints but extension of this joint

A

mcp/dip, pip

57
Q

ape hand is a blank nerve palsy

A

median

58
Q

a contracture needs a blank to be relieved

A

surgical release

59
Q

drop wrist is a blank nerve palsy

A

radial

60
Q

losing thumb function causes blank percent functional loss of hand

A

40-50

61
Q

growth plate break and acute pediatric wrist fractures often present with blank instead of deformities

A

point tenderness

62
Q

two types of distal radius fractures

A

colles, smith’s

63
Q

three types of carpal fractures

A

scaphoid (most common), triquetral, hook of hamate

64
Q

bone takes about blank to fully heal

A

2 yrs

65
Q

circulation in carpals (scaphoid) enters through blank pole

A

distal

66
Q

blank pole has poor circulation

A

proximal

67
Q

metacarpal fracture of thumb

A

bennet’s

68
Q

4th and fifth metacarpal fractures are called

A

boxer’s

69
Q

extensor tendon repair heals blank than flexor tendon repairs after surgery

A

faster

70
Q

carpal tunnel syndrome causes weakness or atrophy of these muscles

A

thenar, first 2 lumbricals (median nerve innervation)

71
Q

where the ulnar nerve runs through the wrist

A

tunnel of guyon

pt musculo2 (17 decks)

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