Hands/Splinting Flashcards

1
Q

Kleinert Protocol for a flexor tendon repair: 0-12 weeks?

A

0-4 weeks: active extension/passive flexion exercises AND dynamic splinting

6-8 weeks: light ADLs

8-12 weeks: strengthening and resistance activities

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2
Q

What is normal elbow ROM?

A

0-150 degrees

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3
Q

What does a positive Finkelstein’s test indicate?

A

DeQuervain’s Tenosynovitis

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4
Q

How to perform the Finkelstein’s test?

A

Therapist grasps the thumb and ulnar deviates the hand sharply

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5
Q

DeQuervain’s Tenosynovitis

A

inflammation of the abductor policis longus (APL) and extensor pollicis longus (EPL)

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6
Q

What does a positive Froment’s Test indicate?

A

an ulnar N. dysfunction

This will result in flexion of the thumb at the IP joint when paper is pulled

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7
Q

What does a positive Phalen’s Test indicate?

A

median nerve compression

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8
Q

how to perform the phalen’s test?

A

patient is asked to hold their wrist in complete and forced flexion (pushing the dorsal surfaces of both hands together) for 30–60 seconds

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9
Q

What position should an outrigger on a dynamic splint be positioned?

A

90 degrees perpendicular

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10
Q

What type of splint would be indicated for an Erb’s Palsy dx?

A

elbow lock splint

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11
Q

Erb’s Palsy clinical picture

A

arm limp into IR

atrophy/paralysis of biceps, deltoid, brachialis, and brachioradialis

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12
Q

Flexion of the PIP and hyperextension of the DIP is characteristic of a:

A

boutonniere deformity

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13
Q

Hyperextension of the PIP and flexion of the DIP is characteristic of a:

A

Swan neck deformity

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14
Q

What would a figure 8 splint typically be used for?

A

combined median N injury

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15
Q

When would a flail arm splint be used?

A

C5-T1 injury

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16
Q

When would a deltoid sling be indicated?

A

UE muscle weakness

17
Q

These symptoms are indicative of what?

  • Numbness/tingling in fingers and ½ ring finger
  • Pain in proximal FA
  • No symptoms at night
  • Positive Tinel’s Sign
A

Pronator Teres Syndome

18
Q

These symptoms are indicative of what?

  • Symptoms at night
  • Positive tinels at wrist
  • Numbness/tingling in fingers and ½ of RF
19
Q

Positive test at guyon’s canal is indicative of?

A

Ulnar N compression

20
Q

These symptoms are indicative of what?

  • postive tinels at elbow
  • Numbness and tingling along Ulnar N distribution and pain in the elbow at end range EF
A

Cubital Tunnel Syndrome

21
Q

Duran’s Protocol for Flexor Tendon Repair 0-4 weeks post op?

A

passive extension/flexion

22
Q

Lengthening of the central slip of the Extensor Digitorum causes?

A

Boutonniere deformities

23
Q

Rupture of the lateral slips of the Extensor Digitorum or FDS can result in ?

A

swan neck deformities

24
Q

Thickening of the FDS can result in ?

A

trigger finger

25
?? is a flattening of the thenar eminence and is indicative of a median nerve palsy
Ape Hand
26
“???” is indicative of an ulnar nerve palsy
Claw hand
27
Buddy strap help provides ?? ROM to the affected finger
Passive
28
Shoulder surgery protocol 0-12 weeks?
0-6 weeks: PROM, AAROM, and AROM | 6+ weeks: isometric then progress to isotonic exercises