Wrist/Hand / Test 3 Flashcards Preview

PT 514 Musculo Rehab > Wrist/Hand / Test 3 > Flashcards

Flashcards in Wrist/Hand / Test 3 Deck (71):
1

Pain over radial styloid process with gripping activities

dequervain's syndrome

2

Insidious onset numbness and tingling in 1st three fingers worse at night

carpal tunnel

3

Paresthesia over dorsal aspect of ulnar border of hand and digit 4-5

ulnar compression at guyon tunnel

4

Inability to extend MCP or PIP joint

Dupuytren’s contracture

5

Pain with loading of wrist, fall on hyper extended wrist

scaphoid fracture instability

6

two ways to measure edema of hand

figure 8 tape measure, volumetric (water)

7

protective shield of nail

nail plate

8

root of nail, produces keratin that makes nail plate

matrix

9

protect the matrix, there are proximal and lateral

nail folds

10

part of nail that acts as a barrier seal to bacteria

eponychium

11

true cuticle of nail that is dead skin cells attached to nail plate from the nail fold

ptygerium

12

part of nail that is the front end of the matrix. keratin cells have not yet flattened

lunula

13

pulmonary disease characterized by a convex nail

club nail

14

loosening of nail plate that can be from graves disease, psoriasis, reactive arthritis

onycholysis

15

aka spoon nail, characterized by concave nail from psoriasis, syphilis, thyroid dysfunction, rheumatic fever

koilonychia

16

acute systemic illness, can be from local trauma or result from chemotherapy that shows lines on nails

beau's lines

17

heart attack, endocarditis, vasculitis, and renal failure can cause tiny bloody cracks in nails called blank

splinter hemorrhages

18

white nail syndrome from arsenal poisining, renal failure, malnutrition

leukonychia

19

normal wrist extension

20 to 35

20

normal ulnar deviation

10-15

21

radioulnar joint
resting position:
close pack position:
capsular pattern:

10 supination
5 supination
pain at extreme of rotation

22

radiocarpal joint
resting position:
close pack position:
capsular pattern:

neutral w/ slight ulnar dev
extension
flex/ext equally limited

23

intercarpal joint
resting position:
close pack position:
capsular pattern:

neutral/slight flexion
extension
none

24

midcarpal joint
resting position:
close pack position:
capsular pattern:

neutral/slight flexion
extension/ulnar deviation
limited flex/ext

25

stable segment of hand

distal carpal row and 2/3 metacarpals

26

mobile segment of hand

five phalanges and 1,4,5 metacarpals

27

there is flexion of mcp/dip and extension of pip in this finger deformity

swan neck

28

extension of mcp and dip, flexion of pip in this finger deformity

boutonniere

29

thickening of flexor tendon sheath

trigger finger

30

finger deformity that is a loss of intrinsic mm action and over dominance of extrinsic extensors acting on proximal phalanx. only median or ulnar nerve

claw fingers

31

finger deformity that is wasting of hypothenar muscle, interossei, two medial lumbricals (ulnar nerve paralysis)

bishops/benediction hand

32

wasting of thenar eminance from median nerve paralysis where thumb falls back in line with fingers due to pull of extensor muscles in this deformity

ape hand

33

finger deformity that is distal phalanx resting in flexion

mallet finger

34

contracture of palmar fascia that causes fixed 4th/5th digit mostly in older men

duputren's contracture

35

paralysis of extensor muscle from radial nerve paralysis

drop wrist

36

thumb flexed at mcp and extended at ip (ra or heredity)

z deformity

37

osteoarthritic enlargement of PIP

bouchard's nodes

38

osteoarthritic enlargement of DIP

heberden's nodes

39

movements of wrist that should be harder end feel rather than firm

pronation, radial deviation

40

A passive loss of motion in a ratio that occurs when the capsular ligament of a joint loses its elasticity uniformly throughout its full extent. The ratio is specific for each different joint.

capsular pattern

41

capsular pattern is full rom with pain at extreme of supination/pronation

distal radioulnar joint

42

capsular pattern is equal limitation of flexion/extension

wrist

43

capsular pattern is flexion more limited than extension

mcp/ip joints

44

capsular pattern is abduction more limited than extension

trapeziometacarpal joint of thumb

45

loss of hand accounts for what percent loss of function

90

46

aka preparatory nerve that positions wrist and controls tension in digital flexors

radial

47

aka power nerve that innervates abductor digiti minimi, flexor digiti minimi.....

ulnar nerve

48

nerve that provides ability for precision manipulation.

median nerve

49

two grip strength tests

dynamometer, pinch meter

50

↓capsulolig extensibility
↓muscle flexibility
↓ capsulolig restraint
indicate blank

passive inadedquacy

51

Tissue reactivity
↓ muscular contractility
↓ motor control
indicate blank

active inadequacy

52

two pulleys of the fingers

annular, cruciate

53

annular pulley of fingers are usually at blank

joints

54

cruciate pulleys are where

on bones not at joints in fingers

55

without pulley system there would be a blank causing excessive extension of finger

bowstring effect

56

swan neck deformity is flexion of these two joints but extension of this joint

mcp/dip, pip

57

ape hand is a blank nerve palsy

median

58

a contracture needs a blank to be relieved

surgical release

59

drop wrist is a blank nerve palsy

radial

60

losing thumb function causes blank percent functional loss of hand

40-50

61

growth plate break and acute pediatric wrist fractures often present with blank instead of deformities

point tenderness

62

two types of distal radius fractures

colles, smith's

63

three types of carpal fractures

scaphoid (most common), triquetral, hook of hamate

64

bone takes about blank to fully heal

2 yrs

65

circulation in carpals (scaphoid) enters through blank pole

distal

66

blank pole has poor circulation

proximal

67

metacarpal fracture of thumb

bennet's

68

4th and fifth metacarpal fractures are called

boxer's

69

extensor tendon repair heals blank than flexor tendon repairs after surgery

faster

70

carpal tunnel syndrome causes weakness or atrophy of these muscles

thenar, first 2 lumbricals (median nerve innervation)

71

where the ulnar nerve runs through the wrist

tunnel of guyon