91] Hand

Question 1

Forceful grip how much force through each side

Answer 1

80% through radial side

20% through ulnar side

Question 2

Functional ROM for MCP flexion

Answer 2

60 deg

Question 3

Functional ROM for PIP flexion

Answer 3

60 degrees

Question 4

Functional ROM for DIP flexion

Answer 4

40 degrees

Question 5

Functional ROM for thumb MCP flexion

Answer 5

20 degrees

Question 6

How is composite flexion measured?

Answer 6

Measured from tip of finger to distal palmar crease (DPC)

Question 7

Intrinsic tendon tightness

Answer 7

Restricted PIP mvmt when MCP extended

Question 8

Extrinsic tendon tightness

Answer 8

Restricted PIP mvmt when MCP flexed

Question 9

Capsular tightness of hand

Answer 9

Restricted PIP mvmt when MCP flexed and extended

Question 10

Retinacular ligament tightness

Answer 10

Restricted DIP mvmt when PIP extended

Question 11

OP for thumb CMC, finger MCP and IP

Answer 11

Slight flexion

Question 12

CP for thumb CMC

Answer 12

Full opposition

Question 13

CP for finger MCP

Answer 13

Full flexion

Question 14

CP for finger IP joint

Answer 14

Full extension

Question 15

“Table top” tendon glide

Answer 15

Intrinsic plus

Question 16

Claw hand is what position?

Answer 16

Intrinsic minus

Question 17

Intrinsic plus position

Answer 17

MCP flexed and IP extend

Question 18

Intrinsic minus position

Answer 18

MCP hyperextend, IPs flex

Question 19

Fracture of 5th MC with palmar angulation

Answer 19

Boxers fracture

Question 20

How much % loss of grip power with boxers fracture?

Answer 20

8% grip power loss

Question 21

Stenosis tenosynovitis of the first dorsal compartment of the wrist

Answer 21

Dequarvians

Question 22

Dequarvians affects what two muscles?

Answer 22

EPB and APL

Question 23

Pain or localized tenderness on the radial side of the wrist aggravated by thumb motion

Answer 23

Dequervians

Question 24

History of chronic overuse
+ Finkelsteins test
Wet leather sign: crepitus with motion

Answer 24

Dequervians

Question 25

Pathological thickening of the sheath of the flexor tendon and/or swelling in the tendon itself

Answer 25

Trigger finger

Question 26

FDS caught at A1 pulley | Pain and “popping” as nodule passes through pulley

Answer 26

Trigger finger

Question 27

Chronic, systemic inflammatory disease | Bilateral

Answer 27

Rheumatoid arthritis

Question 28

Ulnar drift Swan neck Z deformity of thumb

Answer 28

Deformities of RA

Question 29

PIP hyperextension, DIP flexion deformity

Answer 29

Swan neck deformity

Question 30

``` Rheumatologic disease Extensor terminal tendon injuries Spastic conditions Volar plate laxity Fractures to middle phalanx Generalized ligamentous laxity ```

Answer 30

Swan neck deformity

Question 31

Deformity: PIP flexion and DIP hyperextension

Answer 31

Boutonnière deformity

Question 32

Division, rupture, avulsion, laceration or closed trauma to central extensor tendon

Answer 32

MOI for boutonnière

Question 33

Dorsal burns, RA, dupuytrens contracture and congenital disease

Answer 33

Boutonnière deformity

Question 34

Baseball finger | Drop finger

Answer 34

Mallet finger

Question 35

Traumatically induced loss of active extension of DIP due to disruption of terminal tendon

Answer 35

Mallet finger

Question 36

MOI for ?: avulsion, rupture, laceration of terminal tendon, fractured base of distal phalanx at tendon insertion

Answer 36

Mallet finger

Question 37

Thumb UCL sprain is aka

Answer 37

Gamekeepers thumb or skiers thumb

Question 38

Pain and tenderness over ulnar aspect of MCP joints

Answer 38

Thumb UCL sprain