wrist injuries

Question 1

what is a colles fracture

Answer 1

Distal radius fracture with dorsal

displacement of fractured segments

Question 2

what is the MOI for a colles fracture

Answer 2

 FOOSH with wrist in hyper-extension

Question 3

what is a smiths fracture

Answer 3

Distal radius fracture with volar

displacement of fractured segments

Question 4

what is the MOI for a smiths fracture

Answer 4

FOOSH with wrist in hyper-flexion

Question 5

what is Volkmanns ischemic contracture

Answer 5

Acute compartment
syndrome of forearm musculature that typically results from traumatic injury to the forearm and/or wrist & hand complex

Question 6

true or false
Vascular supply becomes
impinged with Volkmanns ischemic contracture causing ischemia to the forearm and/or wrist & hand complex

Answer 6

true

Question 7

true or false

Volkmanns ischemic contracture causes

Answer 7

Claw Hand

Question 8

what is important to consistently monitor with Claw hand

Answer 8

neurovascular function

Question 9

what type of athletes does forearm splints effect

Answer 9

Typically affects athletes who

perform considerable amount of upper extremity weight bearing exercises

Question 10

what is the most common FRACTURED carpal bone

Answer 10

scaphoid bone

Question 11

what is the MOI for scaphoid fractures

Answer 11

Fall on outstretched arm with wrist in

hyper-extension

Question 12

what are the three frequent sites of a scaphoid fracture

Answer 12

-Avascular necrosis -Non-union fractures -Osteoarthritis

Question 13

what sport are hamate fractures unique to

Answer 13

Unique to baseball, softball players and

golfers

Question 14

what is the MOI for a hook of hamate fracture

Answer 14

-Forced ulnar deviation that causes
fracture
 -Typically encountered with swinging
or batting mechanics

Question 15

what is the most commonly DISLOCATED carpal bone

Answer 15

lunate bone

Question 16

what is Murphys sign and what injury is it assocaited with

Answer 16

it is when the third knuckle displaces outward compared to the other knuckles but remians level with the rest of the metacarpal. (Lunate dislocation)

Question 17

true or false

wrist sprains/strains are not common

Answer 17

false

Question 18

what does wrist sprains/ strains injury

Answer 18

carpal ligaments and

retiaculum as well as wrist flexor and extensor tendons

Question 19

what are the special test for wrist sprains/strains

Answer 19

-Radiocarpal AP drawer -Radiocarpal ML drawer

Question 20

what is a ganglion cyst

Answer 20

-Defect in fascia on dorsal
aspect of the wrist
-Represents a herniation of
connective tissue through the respective fascia

Question 21

is a ganglion cyst soft or hard with an acute and chronic condition

Answer 21

• soft with an acute condition

- hard with a chronic condition

Question 22

what is dequervains syndrome

Answer 22

Tenosynovitis of tendons in

dorsal of first ray

Question 23

what tendons does dequervains syndrome effect

Answer 23

• abductor pollicus longus 

- extensor pollicus brevis

Question 24

what is the MOI for deuervains disease

Answer 24

Repetitive ulnar flexion, usually a result of inappropriate

golf and racquet mechanics

Question 25

what is carpal tunnel syndrome

Answer 25

Compression of median | nerve within carpal tunnel

Question 26

what population is carpal tunnel syndrome common in

Answer 26

-manual laborers | -Typists  -Assembly workers -Jack hammer operators

Question 27

true or false | carpal tunnel syndrome is common in athletes

Answer 27

false

Question 28

what are the special test for carpal tunnel syndrome

Answer 28

-Tinel’s sign  -Phalen’s (reverse Phalen’s)

Question 29

what is cyclist palsy

Answer 29

-Ulnar neuritis at tunnel of Guyon -Positive Tinel’s sign at volar aspect of wrist

Question 30

what population is cyclist palsy common in and where does it cause pain

Answer 30

in mountain riders and numbness in 4th and 5th fingers

Question 31

what is TFCC tears

Answer 31

Tears to disc of fibrocartilage | between ulna and carpals (similar to a meniscal lesion at knee)

Question 32

what is the MOI for TFCC tears

Answer 32

FOOSH into wrist | hyperextension

Question 33

what is the special test for TFCC tears

Answer 33

TFCC compression

Question 34

where is metacarpophalangeal dislocations common at

Answer 34

2nd MCP

Question 35

what is a bennetts fracture

Answer 35

Fx-dislocation to base of the 1st MC 

Question 36

whats the MOI for a bennett fracture

Answer 36

Axial load to 1st ray |  Base of 1st MC butts into trapezium

Question 37

what is gameskeeper thumb

Answer 37

ULNAR COLLATERAL LIGAMENT SPRAIN AT 1ST MCP JOINT

Question 38

what is the MOI for a gameskeeper thumb

Answer 38

Forced abduction, hyperextension or combination of thumb

Question 39

what sports are gamekeepers thumb common in

Answer 39

skiers, soccer | goalies, football, rugby and wrestling

Question 40

what is stener lesion

Answer 40

avulse base of | 1st proximal phalanx

Question 41

where are volar plate fractures common

Answer 41

PIP

Question 42

are volar plate fracture assocaited with hyperextension or hyperflexion

Answer 42

hyperextension

Question 43

what is boutonniere deformity

Answer 43

Central slip of EDC slips over PIP joint Hyperextension of DIP  Flexion of PIP

Question 44

true or false | with a boutonniere deformity the patient can extend PIP and flex DIP

Answer 44

false

Question 45

what is mallet finger

Answer 45

Rupture of extensor tendon at DIP Inability to actively extend the DIP

Question 46

what is jersey finger

Answer 46

Rupture of flexor | digitorum profundus tendon at DIP

Question 47

what sport is flexor tendon ruptures common in

Answer 47

sports where athlete is trying to support your body weight with one or two fingers aka rocking climbing