Hand/UE Disorders

Question 1

What is dupuytrens?

Answer 1

Disease of fascia of palms and digits

Question 2

What is ruptured in skier’s (gamekeepers) thumb?

Answer 2

Ulnar collateral ligament

Question 3

What mvmnt and type of strength should ADLs require for a pt with skier’s thumb?

Answer 3

Opposition and pinch strength

Question 4

What type of splint for pt with skiers thumb? For how long?

Answer 4

Thumb splint. 6 weeks.

Question 5

What type of fracture may cause CRPS?

Answer 5

Colles fx

Question 6

What interventions to avoid/proceed with caution with CRPS

Answer 6

Passive ROM/stretching, joint mobilization, dynamic splinting and casting

Question 7

What type of splint for pt with boxers fx?

Answer 7

Ulnar gutter splint

Question 8

Fx of greater tuberosity often results in what type of injury?

Answer 8

Rotator cuff

Question 9

Humeral shaft fx result in what injury?

Answer 9

Radial nerve - wrist drop

Question 10

When can therapist work on AROM prior to fx?

Answer 10

4-8wk/when approved by physician (humeral fx is an exception)

Question 11

What test used for de Quervains?

Answer 11

Finkelsteins

Question 12

Splint for de Quervains?

Answer 12

Thumb spica (IP free)

Question 13

Splint for lateral/medial epicondylitis

Answer 13

Elbow strap & wrist splint

Question 14

Kleinert protocol uses what type of splint?

Answer 14

Dorsal blocking

Question 15

Median nerve compression results in?

Answer 15

CTS (carpal tunnel)

Question 16

What are symptoms of CTS?

Answer 16

Numbness and tingling of thumb, index, middle and radial half of ring finger

Question 17

When do para thesis occur with CTS?

Answer 17

At night

Question 18

Advanced stages of what syndrome can result in muscle atrophy of thenar eminence ?

Answer 18

CTS

Question 19

What are the symptoms of pronator teres syndrome?

Answer 19

Same as CTS + proximal forearm aching pain

Question 20

Where is positive tinel’s sign for pronator teres syndrome?

Answer 20

At forearm

Question 21

What results from an ulnar nerve compression?

Answer 21

Guyons canal

Question 22

Cubical tunnel syndrome results in weakness of what grip?

Answer 22

Power grip

Question 23

What results as compression after a humeral fracture?

Answer 23

Radial nerve palsy

Question 24

Radial nerve palsy results in?

Answer 24

Weakness/paralysis of wrist, MCP, thumb extensors; wrist drop

Question 25

What type of splint for radial nerve palsy?

Answer 25

Dynamic extension splint

Question 26

Movements loss from high median nerve laceration

Answer 26

Mcp flexion, opposition and abduction of thumb, Flexion of thumb

Question 27

Movements loss with high median nerve laceration

Answer 27

Same as low lesion + flexion of tip index finger, middle fingers and thumb, inability to flex to radial aspect of wrist

Question 28

Deformities of median nerve laceration

Answer 28

Ape hand (flattening of thenar eminence) Clawing of hand (low lesion) Benediction (high lesion)

Question 29

Type of splint for median nerve laceration?

Answer 29

C bar

Question 30

Ulnar nerve laceration deformities

Answer 30

Claw hand | Froments sign

Question 31

What is loss with radial nerve laceration at axilla ?

Answer 31

Triceps (elbow extension)

Question 32

Rotator cuff functions to control what?

Answer 32

Head of humerus in glenoid fossa

Question 33

What sleeping posture should be avoided with rotator cuff tendonitis?

Answer 33

Sleeping with arm overhead, combined Adduction and internal rotation

Question 34

What diseases are linked to adhesive capsultis?

Answer 34

DM and Parkinson's

Question 35

What movements should be avoided with shoulder dislocation?

Answer 35

Combined addiction and external rotation

Question 36

What is used to measure edema?

Answer 36

Volumeter or tape measure

Question 37

What is used to measure grip strength?

Answer 37

Sphygmomanometer

Question 38

Pt with osteogenesis has decreased what? Symptoms/appearance?

Answer 38

Collagen to strengthen bones | Short/small body, barrel chest, triangular face, loose joints, sclera blue/purple, hearing loss. Brittle teeth

Question 39

OT intervention for OI

Answer 39

Activity adaption Environmental adaption Positioning Weight bearing to facilitate bone growth

Question 40

In what direction should a residual limb be wrapped ?

Answer 40

Distal to proximal

Question 41

How often should compression garment be worn for hypertrophic scar?

Answer 41

Daily, 24 hrs. For 1-2 years until scar matured

Question 42

Interventions for a pt with Dupuytrens

Answer 42

``` Wound care Edema control Extension splint (on at all times) ROM Scar management ```