wrist Flashcards

(31 cards)

1
Q

radiocarpal joint allows movement in two planes

A

sagital plane and dorsovolar axis

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2
Q

features of the sagittal plane in the radiocarpal joint movement

A

flexion and extension
has a degree of 170
extension is the volar glide
flexion is the dorsal glide

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3
Q

features of the dorsovolar axis in the radiocarpal joint movement

A

ulnar and radial deviation

has a degree of 50-80

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4
Q

what is the shape of the carpal bones on the palmar side

A

concave

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5
Q

what makes up the carpal tunnel

A

concave arc and transverse carpal ligament

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6
Q

what is the Connection point for palmaris longus and wrist flexor muscles

A

carpal tunnel

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7
Q

the 3 plane movement of the carpometacarpo joint

A

abduction
adduction
flexion and extension
rotation

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8
Q

features of metacarpophalangeal joints

A

flexion and extension
90 100

abduction and adduction
45 60

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9
Q

proximal distal ip joints

A

hinge type
pip
flexion - extension
90 1000

dip
flexion extension
60 70

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10
Q

ligaments of the wrist joint

A

ulna………
radial
volar dorsal group

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11
Q

in the ulnar styloid process what muscle stretches in radial deviation

A

psiform

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12
Q

in the radius styloid what muscle stretches in the ulnar deviation

A

scaphoideum

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13
Q

volar stretches in what

A

supinaion and extension

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14
Q

dorsal stretches in what

A

pronation and flexion

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15
Q

what is the functional position of the hand

A

15-30 extension

10-12 ulnar deviation

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16
Q

in making a fist what muscles create a flexor torque in the wrist

A

flexor digitorium profondus and superficialis

17
Q

in making a fist what muscles creates extension in the wrist

A

extensor carpi radialis brevis

18
Q

what post surgery tendons are difficult to heal without surgical intervention

A

flexor tendon injuries

19
Q

what is the zone 1 in the flexor zones of the hand

A

btw the attachment of the flexor digitorium superficialis in the middle phalanx and the fingertip

20
Q

zone 2 of the flexor zones of hand
zone 3
zone 4
zone 5

A
mcp joint and middle pharlanx 
3. carpal tunnel
4.proximal and distal transverse carpal ligament 
5.
Extends from 1/3 distal
of the forearm to the proximal
flexor retinaculum
multipl tendon injury, median
and ulnar artery and nerve injury
21
Q

the pulley system is made up of

A

thickened areas of the flexor tendon sheath

22
Q

important roles of the pulley system

A
.flexion 
.accurate tracking of tendons 
.maintaining apposition of tendons
and bones across joints, and
provides fulcrum to elicit
movement (flexion and extension)
23
Q

Factors Affecting Functional Recovery After Flexor Tendon Repair

A

1….The level of injury
¨ 2- Type of injury: Blunt, sharp, avulsion.
¨ 3- Accompanying injury: Vascular, nerve, bone, skin defect.
¨ 4- Surgical technique
¨ 5- Recovery potential and motivation of the patient
¨ 6- The patient’s tendency to scar tissue
¨ 7- Rehabilitation program

24
Q

The goals of tendon rehabilitation

A
Prevent tendon rupture
¨ Prevent contracture
¨ Fascilitate tendon healing
¨ Provide PROM and AROM
Achieve pre-injury functional
level
25
what is the goal of the early phase rehab thats for 1-6 weeks
The goals of this phase to prevent tendon rupture, provide tendon sglide and prevent flexion contures
26
what muscles are affected in carpal tunnel syndrome
flexor didgitorium superficialis flexor digitorium profondus flexor policis longus
27
what nerve is affected in the carpal tunnel syndrome
median nerve
28
causes or etiology of carpal tunnel syndrome
``` overuse pregnancy occupation and hobby related syndrome diabetes obesity rehumatoid arthritis pregnancy menopause ```
29
clinical signs and symptoms of the carpal tunnel syndorme
pain burning tingling and numbness using the hand increases the symptoms complaints are bilateral and are seen in the dominant hand night time it gets worse
30
what is a sign seen at the late stage of carpal ......syndr,,
tenar atrophy
31
post op goals
reduce pain and edema gaining of function desensitization training