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MSK 1 > Wrist Classification/Diagnoses > Flashcards

Wrist Classification/Diagnoses Flashcards

1
Q

Carpal Tunnel Syndrome

Symptom Location

A
  • compression median N at carpal tunnel
  • pain, N/T palmar surface of hand
  • pain/paresthesia in median nerve distribution
  • can be intermittent
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2
Q

Tendonitis

Symptom Location

A
  • inflam or tender at tendon or tendon-muscle attachment site
  • common in abd pollicis longus, ext pollicis brevis
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3
Q

Dequervain Disease

Symptom Location

A
  • progressive tendon sheath inflammation of the abd pollicis longis and ext pollicis brevis
  • dull ache over radial aspect of wrist
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4
Q

Boutonnier Deformity

Symptom Location

A

-MCP extension, PIP flexion, DIP extension

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5
Q

Mallet Finger

Symptom Location

A

-pain at DIP

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6
Q

Ligament Injury

Symptom Location

A

UCL Sprain of thumb: pain at ulnar side of thumb in web space

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7
Q

TFCC Injury

Symptom Location

A
  • (triangular fibrocartilage complex)

- medial wrist pain, distal to ulna

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8
Q

OA

Symptom Location

A
  • common at 1st CMC joint of thumb

- pain with thumb use

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9
Q

RA

Symptom Location

A

-inflammation, joint pain, deformities of fingers

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10
Q

Raynaud’s Phenomenon

Symptom Location

A

-diffuse, dull pain in hands and fingers

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11
Q

Nerve Lesions

Symptom Location

A
  • Radial nerve entrapment at wrist: loss wrist and finger extension (drop wrist)
  • Wartenberg Syndrome: N/T and pain on radial nerve distribution at hand/wrist
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12
Q

Carpal Tunnel syndrome

Agg Factors

A
  • grip

- decreased corrdination

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13
Q

Dequervain’s

Agg Factors

A
  • thumb movements

- especially in extension, abduction and radial deviation

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14
Q

Boutonnier

Agg Factors

A

-unable to extend PIP

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15
Q

Mallet

Agg Factors

A

-unable to extend DIP

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16
Q

Ligament Injury

Agg Factors

A

-UCL: decreased ability to move thumb or grasp objects

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17
Q

TFCC

Agg Factors

A
  • turning key/door knob
  • pronation/supination
  • gripping
  • ulnar deviation
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18
Q

OA/RA

Agg Factors

A

-writing, typing, using scissors, grasping

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19
Q

Raynaud’s

Agg Factors

A

-using hands in cold climate

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20
Q

Nerve Lesions

Agg Factors

A
  • RNE: can’t grasp/ext wrist

- Wartenberg: sensory symptoms only

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21
Q

Carpal Tunnel Syndrome

Ease Factors

A
  • splinting

- NSAIDs

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22
Q

Tendon Injury/Tenosynovitis

Ease Factors

A
  • NSAIDs
  • Splinting
  • Activity Modification
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23
Q

TFCC

Ease Factors

A
  • Avoid pronation/supination

- splint

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24
Q

OA/RA

Ease Factors

A
  • NSAIDs

- paraffin wax modalities

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25
Raynaud's | Ease Factors
- Wear gloves | - avoid cold
26
Nerve Lesions | Ease Factors
- NSAIDs | - Splint
27
Carpal Tunnel Syndrome | History
- repetitive trauma/overuse of wrist with wrist flex/ext | - night pain
28
Tendonitis | History
-over use of thumb/wrist (grip)
29
Dequervain | History
- progressive inflammation of tendon sheaths of post wrist muscles - history of DM or hypothyroid - creak in wrist
30
Boutonnier | History
-closed trauma to extensor tendon
31
Mallet | History
- jammed finger | - unable to straighten DIP
32
Ligament Injury | History
UCL Sprain: common injury in athletics (game keeper's thumb); can be acute when there is direct blow to thumb into hyperextension and abd at MCP -repeated trauma of valgus forces to thumb
33
TFCC | History
- hear pop at wrist - overuse injury due to chronic rotational loading - FOOSH on supinated hand - painful click with wrist motion
34
OA | History
- more common in women | - 45 years or older
35
RA | History
- Systemic inflammatory disease that damages soft tissue and articular surfaces of joint - women>men - hands common - ulnar drift - swan neck/boutonnier deformity
36
Raynaud's | History
- women>men - cold makes pain worse - blanching of fingers followed by redness - complain of being cold all the time -caused by vasospasm of distal vessels in hand/feet leading to decreased blood supply to fingers
37
Nerve Lesions | History
- RNE:overuse in wrist extension | - Wartenburg: compression of superficial radial N (sensory changes in the wrist/hand)
38
Carpal Tunnel Syndrome | Neurological Exam
-palm, thumb, 2nd and 1/2 of 3rd fingers
39
Nerve Lesions | Neurological Exm
-RNE: paresthesias, numbness on radial aspect of hand/wrist
40
Carpal Tunnel Syndrome | ROM
-wrist flexion, extension
41
Dequervain's | ROM
-loss CMC abd
42
Boutonniere | ROM
-more than 30* extension lag at PIP
43
Mallet | ROM
-loss active extension at DIP
44
OA | ROM
- Abd, ext of 1st CMC - restricted ROM in capsular pattern - joint crepitus
45
RA | ROM
- finger flexion/extension - wrist flex/ext - radial/ulnar deviation
46
Nerve Lesions | ROM
-RNE: inability to extend wrist or fingers
47
Carpal Tunnel Syndrome | Special Tests
- Phalens | - Tinel's
48
Dequervain's | Special Tests
-Finklestein's
49
Ligament Injury | Special Tests
-UCL: Valgus stress at MCP
50
TFCC | Special Tests
-UMTDG
51
Raynaud's | Special Tests
-Allen's test
52
Carpal Tunnel Syndrome | Palpation
-compression over flexor retinaculum reproduces symptoms
53
Dequervain's | Palpation
-swelling/tenderness of radio-styloid region
54
Mallet | Palpation
DIP
55
Ligament Injury | Palpation
-UDL: ulnar side of thumb, near web space, pain
56
TFCC | Palpation
-at styloid process of ulna, pain
57
OA | Palpation
-1st CMC: compression + rotation through joint
58
Raynaud's | Palpation
-cold, blanching with compression of fingers/hand
59
Nerve Lesions | Palpation
-pain at radial hand/wrist
60
Carpal Tunnel | Mm Length/Strength
-stiff or short finger flexors
61
OA/RA | Mm Length/Strength
-short add pollicis and or FPB

MSK 1 (15 decks)

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