Hand and Wrist

Question 1

What 2 muscles are effected with Dequervain’s syndrome?

Answer 1

abductor pollicis longus

Extensor pollicis brevis

Question 2

What syndrome is Tenosynovitis of the radial wrist extensors and is another name for “Squeaker syndrome?”

Answer 2

Intersection syndrome

Question 3

What 2 muscles are affected with Intersection syndrome?

Answer 3

extensor carpi radialis longus

extensor carpi radialis brevis

Question 4

What is the theory behind a ganglion cyst?

Answer 4

allows fluid out of the joint, but not back in

Question 5

Where are most ganglion cysts (65%) formed?

Answer 5

scapholunate ligament

Question 6

What is a genetic condition causing contracture of the deep fascia of the hand?

Answer 6

Dupuytren’s Disease

Question 7

What side of the hand is most commonly effected with Dupuytren’s Disease?

Answer 7

Ulnar side

Question 8

What should you check the length of with Dupuytren’s Disease?

Answer 8

forearm flexors

Question 9

In what manner was Dupuytren’s Disease stitched up?

Answer 9

Zig-Zag

Question 10

What is a traumatic disruption of terminal extensor tendon of DIP Caused by sudden flexion of the distal interphalangeal (DIP) joint while the finger is in an extended position?

Answer 10

Mallet Finger

Question 11

What is another name for Mallet finger?

Answer 11

Baseball finger or drop finger

Question 12

What action do you lose with Mallet finger?

Answer 12

extension at the DIP

Question 13

How do you treat Mallet Finger if it is fractured?

Answer 13

K-wire

Question 14

How do you treat Mallet Finger if it is NOT fractured?

Answer 14

splint in neutral or slight hyperextension

Question 15

What is a fibrous nodule at a flexor tendon that slides under the annular ligament of the finger, and gets stuck; audible or palpatory clicks or popping sensation called?

Answer 15

Trigger finger

Question 16

How should you treat a trigger finger with pain on AROM?

Answer 16

Conservative care

Question 17

How should you treat a trigger finger with pain plus a click?

Answer 17

Conservative care and steroids

Question 18

How should you treat a trigger finger with pain plus sticking?

Answer 18

Steroids

Question 19

How should you treat a trigger finger with pain plus locking?

Answer 19

Surgery

Question 20

What type of fracture is a Fracture-dislocation of the first metacarpal base where the metacarpal articulates with the trapezium?

Answer 20

Bennett’s fracture

Question 21

What ligament lets the fragment stay intact with a Bennett’s fracture?

Answer 21

volar anterior oblique ligament

Question 22

How does a Bennett’s fracture come about?

Answer 22

The thumb forced backward (abduction) with partially flexion of the MCP

Question 23

What is acute instability of the ulnar collateral ligament (UCL), is the most common injury of the thumb and also known as Skier’s thumb?

Answer 23

Gamekeeper’s thumb

Question 24

What is the mechanism of injury of Gamekeeper’s thumb?

Answer 24

Rapid forceful abduction and extension of the MP joint tears the ligament

Question 25

What lesion of gamekeepers thumb, adductor aponeurosis separates the proximal and distal stumps?

Answer 25

Stenar lesion

Question 26

What ligament is stressed with full hyperextension for Gamekeeper's thumb?

Answer 26

accessory ligament

Question 27

What ligament is stressed with 30 degrees of flexion for gamekeeper's thumb?

Answer 27

UCL

Question 28

What muscle's tendon causes avulsion with jersey's finger?

Answer 28

Flexor Digitorum Profundus

Question 29

What is the mechanism of injury with jersey finger?

Answer 29

hyper-extension of a flexed finger

Question 30

Do you want surgery immediately with Jersey finger?

Answer 30

Yes

Question 31

What is the initial and most important reduction force for dorsal dislocations?

Answer 31

Direct traction

Question 32

How do you tape dorsal dislocations?

Answer 32

buddy taping

Question 33

How long should you splint dorsal dislocations?

Answer 33

2-4 weeks

Question 34

How long should you splint a collateral ligament injury?

Answer 34

10-14 days

Question 35

How should you NOT tape a collateral ligament injury?

Answer 35

in flexion (will cause boutinerre deformity)

Question 36

How should you tape a collateral ligament injury?

Answer 36

buddy tape

Question 37

How do you splint a volar plate injury?

Answer 37

Block splint

Question 38

How long should you splint a volar plate injury?

Answer 38

4 weeks in 30 degrees of flexion

Question 39

What fracture is of usually the 5th or 4th metacarpal neck?

Answer 39

Boxer's fracture

Question 40

What is the most common fracture of the carpals?

Answer 40

scaphoid fracture

Question 41

What is the MOI of a scaphoid fracture?

Answer 41

FOOSH

Question 42

What is the most commonly dislocated bone in the wrist?

Answer 42

lunate

Question 43

What nerve may be injured with a lunate fracture?

Answer 43

Median nerve

Question 44

What is the disease name called with avascular necrosis of the lunate?

Answer 44

Keinbock's disease

Question 45

Describe ulnar variance?

Answer 45

ulna is longer or shorter than the ulnar side of the radius

Question 46

What is fractured with a Chaeuffer's fracture?

Answer 46

radial styloid

Question 47

What is fractured with a Smith's fracture?

Answer 47

Distal radius

Question 48

What kind fo deformity is caused by a Smith fracture?

Answer 48

Garden Spade deformity

Question 49

What is the MOI of Smith's fracture?

Answer 49

Falling on the back of the hand

Question 50

What is fractured with Colles fracture?

Answer 50

distal radius with posterior fragments

Question 51

What is the MOI of a Colles fracture?

Answer 51

FOOSH