Wrist - Readings

Question 1

Flexion, extension and radial and ulnar deviation of the wrist occur at what joint?

Answer 1

Radiocarpal and midcarpal joints

Question 2

List 4 common cause of dorsal wrist pain in the radial zone

Answer 2

1. ECR tenosynovitis
2. De Quervains Tenosynovitis
3. Scaphoid fracture
4. Distal radius fracture

Question 3

List 3 common causes of wrist pain in the central dorsal zone

Answer 3

1. Posterior interosseous nerve/radial nerve entrapment
2. Ganglion cyst
3. Scapholunate ligament sprain

Question 4

List 4 common causes of wrist pain in the dorsal ulna zone

Answer 4

1. ECU tenosynovitis
2. Triangular fibrocartilage complex tear
3. Ulna styloid fracture
4. Triquetral fracture

Question 5

List 1 common cause of volar wrist pain in the radial zone

Answer 5

Carpo-metacarpal OA

Question 6

List 1 common cause of volar wrist pain in the central zone

Answer 6

Carpal tunnel syndrome

Question 7

List 2 common causes of volar wrist pain in the ulnar zone

Answer 7

1. Thoracic outlet syndrome

2. Lunotriquetral ganglion

Question 8

List 3 important general management considerations for a Radial Epiphyseal injury

Answer 8

1. Load management
2. Technique alteration
3. Forearm strengthening - particularly the flexors
4. ?Brace to prevent hyperextension

Question 9

What muscle tendons are affected in De Quervains Tenosynovitis ?

Answer 9

Abductor Pollicis Longus

Extensor Pollicis Brevis

Question 10

What two injuries may result in a positive Frinkelstein test ?

Answer 10

1. De Quervain’s Tenosynovitis

2. FCR tendinopathy

Question 11

What carpal bone is most likely to dislocate

Answer 11

Lunate

Question 12

What injury is associated with Scapholunate dissociation

Answer 12

Dorsal scapholunate ligament tear

Question 13

What does the Watsons test, test for?

Answer 13

Scapholunate instability

Question 14

What is Kienbock’s disease ?

Answer 14

Avascular necrosis of the lunate

Question 15

List 4 clinical signs of a scaphoid fracture

Answer 15

1. Tenderness in the snuff box
2. Swelling
3. Loss of grip strength
4. Pain upon axial compression of the thumb towards the radius

Question 16

What fracture commonly occurs with a Bennets fracture

Answer 16

Trapezium fracture

Question 17

A young gymnast consistently exposes their wrist to compressive and shearing forces through the distal radius at the wrist, what injury is likely to result

Answer 17

Radial Epiphyseal injury

Question 18

What movement should be temporarily avoided/reduced in Radial Epiphyseal injury

Answer 18

Wrist hyperextension

Question 19

What is a common equipment modification for De Quervains Tenosynovitis

Answer 19

Grip widener on a pen or golf club

Question 20

What is Kienbock’s Disease

Answer 20

Avascular necrosis of the lunate

Question 21

What are two not to be missed diagnosis common in weightlifters, and what MOI is common

Answer 21

Scaphoid impact syndrome and avascular necrosis of the capitate, resulting from repetitive hyperextension at the wrist

Question 22

What repetitive movement may lead to a TFCC tear

Answer 22

ulnar compressive loading

Question 23

A positive Press test, indicates what?

Answer 23

TFCC tear

Question 24

What tendon may be injured with repetitive supination, wrist flexion and UD

Answer 24

ECU

Question 25

What test can differentiate a TFCC tear from a ECU injury/tendinopathy

Answer 25

Press Test