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MSK UQ > Wrist Eval & Tx > Flashcards

Wrist Eval & Tx Flashcards

1
Q

pain with activities indicates

A

tendinopathy

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2
Q

pain after activities indicates

A

instability

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3
Q

OSPRO-YF assesses what 3 domains of psychosocial distress

A

negative mood
fear-avoidance
negative affect/coping

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4
Q

which wrist/hand diagnosis is a medical emergency

A

Volkmann’s ischemic contracture

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5
Q

Colles’ fracture MOI

A

extension w/ dorsal displacement
results in shortened forearm

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6
Q

Smith fracture MOI

A

flexion w/ volar displacement

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7
Q

what is the most commonly fractured carpal bone?

A

scaphoid

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8
Q

healing times for scaphoid fracture

A

8 weeks - 4 months +

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9
Q

MOI for hook of hamate fracture

A

stress fx from repetitive torque stresses in bat, racket, club type sports

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10
Q

hook of hamate fracture S&S

A

ulnar side wrist pain w/ gripping
pain with resisted 4 & 5th finger flex

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11
Q

MOI for radio-scapho-lunate lig sprain

A

FOOSH

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12
Q

MOI for luno-triquetral lig sprain

A

forced wrist ext & radial dev

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13
Q

MOI of Volkmann’s ischemic contracture

A

major crush injury (usually occurs 1-2 hours after)

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14
Q

CPR for 1st CMC OA

A
  1. hand pain or stiffness
  2. hard tissue enlargement of >/=2 joints AND DIPs 2-3, PIPs 2-3, & 1st CMC
  3. <3 swollen MCP joints
  4. hard tissue enlargement of >/=2 DIP
  5. deformity of >/= 2 selected joints
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15
Q

is ulnar drift related to RA or OA?

A

RA

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16
Q

tendon involved with De Quervain’s

A

APL & EPB

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17
Q

general tx for wrist sprain

A

splint/bracing for 4-6 weeks w/ activity modifications

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18
Q

De Quervain’s S&S

A

TTP over radial styloid
pain w/ active thumb abd
pain w/ passive thumb add

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19
Q

tx options for De Quervain’s

A

thumb spica splint
CS injection
surgical release

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20
Q

what is the most commonly dislocated carpal bone?

A

lunate

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21
Q

scapholunate dissociation:
scaphoid shifts ___
lunate shifts ____
_____ (motion) is blocked

A

scaphoid shifts VOLARLY
lunate shifts DORSALLY
EXT (motion) is blocked

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22
Q

Heberden’s nodes

A

enlargement of DIP w/ OA

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23
Q

Bouchard’s nodes

A

enlargement of PIP w/ OA

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24
Q

swan neck deformity presentation

A

flex MCP & DIP w/ ext PIP

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25
swan neck deformity MOI
contracture of intrinsics tearing of volar plate (2/2 trauma or RA)
26
Boutonniere deformity presentation
Ext of MC & DIP w/ flex PIP
27
what condition is trigger finger common in?
RA
28
what is mallet finger?
AVULSION of distal slip/extensor tendon flexed DIP
29
MOI of mallet finger
forced flexion of DIP
30
Boutonniere deformity MOI
RUPTURE of central tendon of extensor hood 2/2 RA or trauma
31
what is jersey finger?
AVULSION of FDP tendon
32
MOI for jersey finger
forced ext against active flex
33
jersey finger usually occurs at digit ___
4
34
ape hand is due to ___ palsy which make thumb unbale to ____ or ___
median n unable to oppose or flex
35
boxer's fracture: MOI digits loss of ___ height
direct impact to MC shaft or head 4th &/or 5th MC bone loss of MCP height
36
Dupuytren's contracture
palmar fascia contraction w/ finger deformity in MCP & PIP joints; most often in 4th & 5th digits
37
what is the most commonly injured ligament in the hand?
UCL of the thumb
38
MOI of Gamekeeper's thumb
forced abd w/ hyperext of thumb
39
tx for Gamekeeper's thumb
thumb spica for 6-10 weeks
40
most commonly compressed neuro sites?
C8-T1
41
neurapraxia (stage 1)
transient block non-degenerative
42
axonotmesis (stage 2-4)
lesion in continuity degenerative
43
neurotmesis (stage 5)
nerve damage degenerative w/ poorer outcomes
44
3 most common sites of compression for TOS
1. interscalene triangle 2. costoclavicular space 3. retro-pectoral space
45
which nerve is commonly damaged with GHJ dislocations?
axillary
46
spinal accessory nerve damage MOI
*clavicle fx *scapular fx *subclavian vascular lesions GHJ lesions
47
suprascapular nerve damage MOI
trauma (fall, fx) overuse (throwing, OH lifting)
48
most commonly injured peripheral nerve
radial
49
if radial nerve is compressed at dorsal wrist, ____ is lost
only sensory of hand
50
radial tunnel syndrom
deep branch of radial n. compressed at supinator
51
which mm to test for to confirm radial tunnel syndrome?
EI & EPL resisted supination (painful)
52
which nerve entrapments are motor only?
radial tunnel syndrome AIN
53
radial tunnel syndrome has TTP at
just distal to lat epi
54
how to diff dx pronator teres syndrome?
resisted pronation (painful)
55
nerve involved with pronator teres syndrome
median
56
T/F: pronator teres syndrome usually resolves in 6 mo with no PT
T
57
mm supplied by AIN
FDP of 2-3 FPL PQ
58
AIN tests
(+) Froment's can't make OK sign
59
when is AIN decompression surgery recommended?
if conservative tx not working for 8 mo
60
what is the most common peripheral nerve entrapment of UE?
carpal tunnel (median)
61
carpal tunnel S&S
- activity related pain w/ dysthesia in radial 3.5 digits - night pain with parasthesias
62
how to diagnose carpal tunnel with 80% accuracy?
(+) Tinel's (+) phalen's sensory changes in median n. dist
63
what mm should be stretched for carpal tunnel?
extensors & supinators
64
surgery is recommended for carpal tunnel if no change with conservative tx in ___
6 mo
65
65
Ape hand: inability to flex ____ PIP extension maintained in ____ digits PIP & DIP flexion at digits ____ may occur
IP of thumb 2 & 3 4 & 5 (2/2 FDP crossing)
66
5 potential areas of compression for ulnar nerve
1. medial intermuscular membrane 2. arcade of struthers 3. medial epi 4. heads of FCU 5. b/w FCU & adjacent tissue (ulna, FDP)
67
what injuries may contribute to Guyon's canal entrapment?
hook of hamate fx ganglion cyst
68
which mm is still intact with claw hand?
FDP
69
presentation of claw hand: position which mm atrophy
PIP 4 & 5 flexed atrophy: dorsal & palmar interossei motions difficulty: thumb add, ext PIP/DIP
70
which nerve is often compressed with UE compartment syndrome?
AIN
71
post-op precautions for flexor/extensor tendon repairs
no active flexion/extensor no stretching into extension/flexion

MSK UQ (19 decks)

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