Wrist and Hand

Question 1

Distal Radius “Colles” Fracture

Answer 1

Fracture 1.5 inches proximal to distal end of radius
Common in older women from falling
Dinner fork deformity - radius points dorsally

Question 2

Rehab for Colles Fracture

Answer 2

Maximize pain-free ROM, strength, and UE function
Influenced by age, mechanism of injury, reduction method, type of fracture, associated tissue complications, socioeconomic factors, and patient goals

Question 3

Scaphoid Fracture

Answer 3

70% occur in middle of bone (healing better here)

Fractures of proximal pole take longer to heal than distal pole

Question 4

Lunate Fracture

Answer 4

Most affects volar pole of bone

Complication - Kienbock’s disease (AVN of lunate)

Question 5

UCL - Skier’s/Gatekeeper’s thumb

Answer 5

Forced or repetitive radial deviation of thumb

Question 6

Carpal Tunnel Syndrome

Answer 6

Compression of median nerve

Caused by trauma, physiological changes, or repeated microtrauma

Question 7

CTS Early Symptoms

Answer 7

Tingling

Positive Tinel’s Sign

Question 8

CTS Late Symptoms

Answer 8

Weakness distally with median nerve

Atrophy after weakness

Question 9

CTS Demographics

Answer 9

Prevalence - 3/200 workers
Female to male 3:1
Age
Dominance

Question 10

CTS Risk factors

Answer 10

Repetitiveness
Force
Posture/unaccustomed work activities
Vibration/temperature
Personal risk factors

Question 11

CTS Clinical Findings

Answer 11

+ Phanlens test
+ Tinels test
Semmes Weinstein
Volumetric changes

Question 12

Treatment for CTS

Answer 12

rest
NSAIDS
Injections
Splinting
PT
Ergonomic modification
Patient education
Modalities
Joint mobs
Strengthening

Question 13

De Quervain’s Tenosynovitis

Answer 13

Inflammation of tendon sheath of APL and EPB

Attributed to excessive friction

Question 14

De Quervain’s Tenosynovitis Associated Factors

Answer 14

DM, hypothyroidism, pregnancy, RA, gender

Question 15

De Quervain’s Tenosynovitis Differential Diagnosis

Answer 15

Thumb CMC arthritis, Scaphoid fracture, entrapment of superficial branch of radial nerve, radiocarpal dysfunction

Question 16

De Quervain’s Tenosynovitis Clinical Findings

Answer 16

Decreased strength
Pain/swelling
Positive Finkelstein’s

Question 17

De Quervain’s Tenosynovitis Treatment

Answer 17

Splinting
Rest
NSAIDS
Injection
Surgery

Question 18

De Quervain’s Tenosynovitis PT

Answer 18

Patient education
Modalities
Manual therapy
Tendon gliding exercises
Strength