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kines 335 test 3 > wrist injuries > Flashcards

wrist injuries Flashcards

1
Q

what is a colles fracture

A

Distal radius fracture with dorsal

displacement of fractured segments

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2
Q

what is the MOI for a colles fracture

A

 FOOSH with wrist in hyper-extension

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3
Q

what is a smiths fracture

A

Distal radius fracture with volar

displacement of fractured segments

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4
Q

what is the MOI for a smiths fracture

A

FOOSH with wrist in hyper-flexion

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5
Q

what is Volkmanns ischemic contracture

A

Acute compartment
syndrome of forearm musculature that typically results from traumatic injury to the forearm and/or wrist & hand complex

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6
Q

true or false
Vascular supply becomes
impinged with Volkmanns ischemic contracture causing ischemia to the forearm and/or wrist & hand complex

A

true

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7
Q

true or false

Volkmanns ischemic contracture causes

A

Claw Hand

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8
Q

what is important to consistently monitor with Claw hand

A

neurovascular function

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9
Q

what type of athletes does forearm splints effect

A

Typically affects athletes who

perform considerable amount of upper extremity weight bearing exercises

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10
Q

what is the most common FRACTURED carpal bone

A

scaphoid bone

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11
Q

what is the MOI for scaphoid fractures

A

Fall on outstretched arm with wrist in

hyper-extension

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12
Q

what are the three frequent sites of a scaphoid fracture

A

-Avascular necrosis -Non-union fractures -Osteoarthritis

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13
Q

what sport are hamate fractures unique to

A

Unique to baseball, softball players and

golfers

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14
Q

what is the MOI for a hook of hamate fracture

A

-Forced ulnar deviation that causes
fracture
 -Typically encountered with swinging
or batting mechanics

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15
Q

what is the most commonly DISLOCATED carpal bone

A

lunate bone

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16
Q

what is Murphys sign and what injury is it assocaited with

A

it is when the third knuckle displaces outward compared to the other knuckles but remians level with the rest of the metacarpal. (Lunate dislocation)

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17
Q

true or false

wrist sprains/strains are not common

A

false

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18
Q

what does wrist sprains/ strains injury

A

carpal ligaments and

retiaculum as well as wrist flexor and extensor tendons

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19
Q

what are the special test for wrist sprains/strains

A

-Radiocarpal AP drawer -Radiocarpal ML drawer

20
Q

what is a ganglion cyst

A

-Defect in fascia on dorsal
aspect of the wrist
-Represents a herniation of
connective tissue through the respective fascia

21
Q

is a ganglion cyst soft or hard with an acute and chronic condition

A
  • soft with an acute condition

- hard with a chronic condition

22
Q

what is dequervains syndrome

A

Tenosynovitis of tendons in

dorsal of first ray

23
Q

what tendons does dequervains syndrome effect

A
  • abductor pollicus longus 

- extensor pollicus brevis

24
Q

what is the MOI for deuervains disease

A

Repetitive ulnar flexion, usually a result of inappropriate

golf and racquet mechanics

25
Q

what is carpal tunnel syndrome

A

Compression of median

nerve within carpal tunnel

26
Q

what population is carpal tunnel syndrome common in

A

-manual laborers

-Typists  -Assembly workers -Jack hammer operators

27
Q

true or false

carpal tunnel syndrome is common in athletes

A

false

28
Q

what are the special test for carpal tunnel syndrome

A

-Tinel’s sign  -Phalen’s (reverse Phalen’s)

29
Q

what is cyclist palsy

A

-Ulnar neuritis at tunnel of
Guyon
-Positive Tinel’s sign at volar
aspect of wrist

30
Q

what population is cyclist palsy common in and where does it cause pain

A

in mountain riders and numbness in 4th and 5th fingers

31
Q

what is TFCC tears

A

Tears to disc of fibrocartilage

between ulna and carpals (similar to a meniscal lesion at knee)

32
Q

what is the MOI for TFCC tears

A

FOOSH into wrist

hyperextension

33
Q

what is the special test for TFCC tears

A

TFCC compression

34
Q

where is metacarpophalangeal dislocations common at

A

2nd MCP

35
Q

what is a bennetts fracture

A

Fx-dislocation to base of the 1st MC 

36
Q

whats the MOI for a bennett fracture

A

Axial load to 1st ray

 Base of 1st MC butts into trapezium

37
Q

what is gameskeeper thumb

A

ULNAR COLLATERAL LIGAMENT SPRAIN AT 1ST MCP JOINT

38
Q

what is the MOI for a gameskeeper thumb

A

Forced abduction,
hyperextension or
combination of thumb

39
Q

what sports are gamekeepers thumb common in

A

skiers, soccer

goalies, football, rugby and wrestling

40
Q

what is stener lesion

A

avulse base of

1st proximal phalanx

41
Q

where are volar plate fractures common

A

PIP

42
Q

are volar plate fracture assocaited with hyperextension or hyperflexion

A

hyperextension

43
Q

what is boutonniere deformity

A

Central slip of EDC slips
over PIP joint
Hyperextension of DIP 
Flexion of PIP

44
Q

true or false

with a boutonniere deformity the patient can extend PIP and flex DIP

A

false

45
Q

what is mallet finger

A

Rupture of extensor
tendon at DIP
Inability to actively
extend the DIP

46
Q

what is jersey finger

A

Rupture of flexor

digitorum profundus tendon at DIP

47
Q

what sport is flexor tendon ruptures common in

A

sports where athlete is trying to support
your body weight with one or
two fingers aka rocking climbing

kines 335 test 3 (3 decks)

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