Hand & Wrist

Question 1

what motion puts more stress on TFCC?

Answer 1

supination

Question 2

the radiocarpal joint contributes more to _____ (motion)

Answer 2

wrist flexion

Question 3

the midcarpal joint contributes more to _____ (motion)

Answer 3

wrist extension

Question 4

what is the intercalated segment?

Answer 4

• PROXIMAL row of carpal bones
• no tendinous insertions here
• intercalated b/w radius & distal carpal row

Question 5

roll and glide of proximal carpal row

Answer 5

opposite

Question 6

which pulley is the most important for mechanics of the fingers?

Answer 6

A2

Question 7

Intersection syndrome vs De Quervain’s

Answer 7

De Quervain’s: 1st comp (APL & EPB)
intersection: 1st & 2nd comp (ECRB/L) - more proximal pain

Question 8

which pulley is involved in trigger finger?

Answer 8

A1: b/w distal and prox crease

Question 9

tx for trigger finger

Answer 9

• immobilize flexion
• soft tissue to wrist
• tenon glides

Question 10

where is the referred pain for trigger finger?

Answer 10

dorsal PIP

Question 11

S&S of trigger finger

Answer 11

• dorsal PIP pain
• pain along A1 pulley
• pain along MCP volar thumb crease
• palpable nodule over flexor sheath
• lock/catch of digit
• slight flex of involved digit
• sx in morning

Question 12

test for De Quervain’s

Answer 12

Finklestein’s test

Question 13

test for intersection syndrom

Answer 13

resisted wrist extension while making fist
(+) pain 2” proximal to wrist