LAB 14 WRIST/HAND

Question 1

what types of grip are for power?

Answer 1

hook
fist
cylindrical
spherical

Question 1

what are types of precision grips?

Answer 1

1. pinch
2. lateral prehension
3. tip prehension
4. 3 fingered pinch
5. 5 fingered pinch

Question 2

wrist flexion and extension norms

Answer 2

flexion: 80-90
extension: 70-90

Question 3

wrist radial and ulnar deviation norms

Answer 3

radial 15
ulnar: 30-45

Question 4

supination/pronation norms

Answer 4

supination 85+
pronation 75+

Question 5

finger flexion norms
MCP
PIP
DIP

Answer 5

MCP: 80-90
PIP: 100-115
DIP: 80-90

Question 6

finger extension norms
MCP
PIP
DIP

Answer 6

MCP: 30-45
PIP: 0
DIP: 20

Question 7

finger abduction/adduction norms

Answer 7

abd: 20-30
add: 0

Question 8

thumb flexion norms

Answer 8

CMC: 45-50
MCP: 50-55
IP: 85-90

Question 9

thumb extension norms

Answer 9

CMC 20
MCP 0
IP 0-5

Question 10

you should have about _ degrees of thumb abduction and _ adduction

Answer 10

abd: 60-70
add: 30

Question 11

you should perform resisted testing of wrist and hand in what position

Answer 11

nuetral

Question 12

Radial carpal joint is _ on _

Answer 12

convex carpals on concave radius/ulna
opposite!

Question 13

midcarpal joints are _ on _

Answer 13

convex distal carpals on concave proximal carpals
opposite

Question 14

only CMC joint with opposite roll and glide is

Answer 14

thumb abd/add
add: anterior glide
abd: posterior glide

Question 15

How to test for gamekeeper’s thumb

Answer 15

flex MCP joint to 30, valgus stress to thumb
(UCL of thumb instability test)

Question 16

What test is for scapholunate instability?
go from what to what

Answer 16

Watson (scaphoid) shift test
ulnar dev + slight extension –> radial dev + slight flexion

+ = sublux or clunk + pain

Question 17

Ballotement is for what

Answer 17

luno-triquetral instability
move lunate up and down with one hand, stabilize triquetrum

+ = laxity, crepitus, pain

Question 18

Murphy’s sign is for

Answer 18

lunate dislocation (volarly usually)

knuckle of 3rd met being level with others

Question 19

Piano key test

Answer 19

TFCC
thumb on ulna, index finger on pisiform/triquetrum.
dorsal glide of pisiform/triquetrum

+ = pain or laxity

Question 20

Finkelstein’s test is for

Answer 20

de quervain’s
(passive ulnar deviation with thumb inside fist)
+ pain = paratendinitis of APL, EPB

Question 21

how long to hold phalan’s or reverse

Answer 21

up to 1 minute (until tingling)

Question 22

What is Jeanne’s sign when doing Fromment’s sign

Answer 22

Jeanne: thumb MCP hyperextension
indicates ulnar nerve paralysis

Question 23

What muscle is tested in Fromment’s sign

Answer 23

adductor pollicus (ulnar nerve)
lateral pinch of paper, pull it away

Question 24

positive vs negative test for allen

Answer 24

(+) test: if color returns to hand in 6-10 seconds = normal (-) test: pallor after 6-10 seconds: compromised blood flow to radial or ulnar arteries