Wrist

Question 1

Distal Radioulnar Joint Resting position

Answer 1

10 degrees of supination

Question 2

Distal Radioulnar Joint closed packed position

Answer 2

5 degrees of supination

Question 3

Distal Radioulnar Joint capsular pattern

Answer 3

Full ROM, pain at extremes of rotation

Question 4

Radiocarpal (Wrist) Joint resting position

Answer 4

Neutral with slight ulnar deviation

Question 5

Radiocarpal (Wrist) Joint
Closed packed position

Answer 5

Extension with radial deviation

Question 6

Midcarpal Joints resting position

Answer 6

Neutral or slight flexion with ulnar deviation

Question 7

Midcarpal Joints closed packed position

Answer 7

Extension with ulnar deviation

Question 8

Midcarpal Joints capsular pattern

Answer 8

Equal limitation of flexion and extension, works with radiocarpal joint

Question 9

Intercarpal Joints resting position

Answer 9

Neutral or slight flexion

Question 10

Intercarpal Joints closed packed position

Answer 10

Extension

Question 11

Intercarpal Joints capsular pattern

Answer 11

None

Question 12

Carpometacarpal Joints resting position

Answer 12

Thumb, midway between abduction and adduction, and midway between flexion and extension; Fingers, midway between flexion and extension

Question 13

Carpometacarpal Joints
Closed packed position

Answer 13

Thumb, full opposition; Fingers, full flexion

Question 14

Carpometacarpal Joints
Closed packed position

Answer 14

Thumb, full opposition; Fingers, full flexion

Question 15

Carpometacarpal Joints
Capsular pattern

Answer 15

Thumb, abduction and extension; Fingers, equal limitation in all directions

Question 16

Metacarpophalangeal Joints
Resting position

Answer 16

Slight flexion

Question 17

Metacarpophalangeal Joints
Closed packed position

Answer 17

Thumb, full opposition; Fingers, full flexion

Question 18

Metacarpophalangeal Joints
Capsular pattern

Answer 18

Flexion and extension

Question 19

Interphalangeal Joints
Resting position

Answer 19

Slight flexion

Question 20

Interphalangeal Joints. Closed packed position

Answer 20

Full extension

Question 21

Interphalangeal Joints
Capsular pattern

Answer 21

Flexion and extension

Question 22

What maintains stability

Answer 22

Radioscapholunate ligament

Question 23

Flexor Zone I
Anatomical Landmark?
Clinical Application?

Answer 23

FDP insertion (DIP)
Tear of FDP, Sweater fingers

Question 24

Flexor Zone II
Anatomical Landmark
Clinical Application

Answer 24

FDS insertion (PIP), Distal palmar crease
Tear FDP and FDS, No Man’s Land

Question 25

Flexor Zone III Anatomical Landmark Clinical Application

Answer 25

Distal palmar crease, distal to Carpal Tunnel Area FDP, FDS, and Lumbrical damage

Question 26

Flexor Zone IV Anatomical Landmark Clinical Application

Answer 26

Carpal Tunnel Area FDP, FDS, FPL Median Nerve Injury

Question 27

Flexor Zone V Anatomical Landmark Clinical Application

Answer 27

Proximal wrist to forearm All intrinsic and extrinsic flexors; Both ulnar and median nerve; Radial and ulnar arteries

Question 28

Flexor Zone of Thumb I Anatomical Landmarks Clinical Application

Answer 28

TI Distal phalanx, neck of proximal phalanx Tear FPL

Question 29

Flexor Zone of Thumb II Anatomical Landmarks Clinical Application

Answer 29

Base of proximal phalanx, neck of first metacarpal Tear FPL and FPB

Question 30

Flexor Zone of Thumb III Anatomical Landmarks Clinical Application

Answer 30

From first metacarpal going proximally Thenar muscle

Question 31

What deformity will manifest if the Extensor zone affected is I and II?

Answer 31

Swan Neck Deformity

Question 32

What deformity will manifest od the affected structure is Extensor zone III and IV?

Answer 32

Boutonniere Deformity

Question 33

What will manifest if Extensor zone affected is I and II?

Answer 33

Mallet Finger

Question 34

Its cause is the weakening of the capsuloligamentous structures of the MCP joint Bowstring effect of the extensor communis tendon

Answer 34

Ulnar Drift

Question 35

Inability to simultaneously flex MCP and PIP joints Caused by adhesions or shortening of the extensor communis tendon proximal to the MCP joint

Answer 35

Extensor Plus Deformity

Question 36

Thickening of the flexor tendon sheath Common in third and fourth finger

Answer 36

Trigger Finger / Digital Tenovaginitis Stenosans

Question 37

Atrophy of thenar muscle Unable to flex or oppose thumb Caused by median nerve palsy proximal to wrist joint

Answer 37

Ape Hand Deformity

Question 38

Both median and ulnar nerve pathology From an extended fingers, patient ask to flex? From a flexed position, patient ask to extend?

Answer 38

Bishop’s Hand / Benediction’s Hand Ext to flex = median nerve Ext to flex = ulnar

Question 39

Wrist drop is caused by damage to the ? What if there is no sensory loss what nerve is damaged

Answer 39

Radial nerve PNI: has sensory loss - PARESTHESIA ANI: NO sensory loss

Question 40

What extensor zone is affected when there is a Tear on central slip and lateral band? Boutonniere deformity

Answer 40

III &IV

Question 41

FDP, FDS, FPL, and median nerve injury occur in what area and what flexor zone?

Answer 41

Carpal tunnel area, Flexor zone IV

Question 42

Common in diabetes showing area of abnromal sensation ingatan dahil di malalaman kung may bleedin

Answer 42

Opera glove anesthesia

Question 42

What degrees are the normal functional movement of the wrist: Flexion; Extension; Radial dev; Ulnar dev;

Answer 42

Flexion; 40 deg Extension; 40 deg Radial dev; 15 deg Ulnar dev; 20 deg

Question 42

What range (percent) is the acceptable difference b/w the grip strength of each hand?

Answer 42

grip strength: difference 5-10% in both hand

Question 42

torn FDP terminal tendon EXTENSOR ZONE 1 flex DIP (presentation)

Answer 42

MALLET

Question 43

What type of hand deformity is usually seen in pt w/ RA?

Answer 43

Zigzag deformity *common sa thumb, seen in RA *In severe cases of RA, Zigzag, ulnar drift, and yung nodes

Question 43

4 stages of grip

Answer 43

1. opening of the hand 2. positioning and closing the fingers and thumb (grasp) 3. Exerted force 4. Release * summarized version

Question 44

Thorn UCL and MCP of thumb Also known as Skier's thumb Id UCL is torn it will deviate radially

Answer 44

Gamekeeper thumb

Question 44

DIP is flexed PIP is extended (most affected) MCP is flexed lateral band ung affected volar plate deformity EXT zone 1 terminal tendon

Answer 44

Swan neck deformity

Question 44

PIP joint ang affected common sa RA

Answer 44

Bouchard’s nodes

Question 45

DIP is extended PIP is flexed (flexed) MCP is extended zone 3 and 4 central band

Answer 45

Boutonniere deformity

Question 45

Common in severeRA MCP flexion Ulnar deviation THumb subluxation palmar subluxation onMCP MCP is weak due to bow stinging

Answer 45

Ulnar drift

Question 46

Atrophy of thenar muscle Unable to flex or oppose thumb Caused by median nerve palsy proximal to the wrist joint median nerve

Answer 46

Ape hand deformity

Question 47

Contracture of palmar fascia MC: men, 4th and 5th finger Common in men palpation: matigas, may nodule

Answer 47

Dupuytren’s contracture

Question 47

Polydactyly and triphalangism Other congenital anomaly Campodactyly: Clinodactyly: orientation: Syndactyly: Macrodactyly:

Answer 47

Polydactyly and triphalangism Other congenital anomaly Campodactyly: little finger is bent Clinodactyly: orientation: diagonal Syndactyly: magkadikit Macrodactyly: malaki