Term
| 2 joints of the wrist complex |
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Definition
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Term
| Bones of proximal carpal row |
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Definition
| scaphoid, lunate, triquetrum |
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Term
| Ligts of main stability in wrist complex (5) |
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Definition
ulnar collat,
radial collat,
dorsal radiocarpal,
volar radiocarpal,
ulnocarpal |
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Term
| Scaphoid "locks" with these carpals at neutral wrist ext |
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Definition
| capitate, hamate, trapezoid |
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Term
| As wrist extends, scaphoid & trapezii rotate _____ while hamate & triquetrum rotate _____ |
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Definition
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Term
| Wrist position for testing intercarpal jt mobility |
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Definition
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Term
| Wrist position for testing intercarpal jt stability |
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Definition
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Term
| Wrist position for testing radiocarpal jt stability |
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Definition
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Term
| Wrist position for mobilization of intercarpal jts |
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Definition
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Term
| Wrist position for radiolunate or radioscaphoid mobilization |
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Definition
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Term
| Due to conjunct rotation, mobilizations need to occur in ______ ______ |
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Definition
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Term
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Definition
dorsally & radially angulated radial head,
displaced fx within 1.5" of joint,
"dinner fork" deformity |
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Term
| Complication 2º to Colles' fx |
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Definition
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Term
| Misdx carpal fx/dislocation >> (3) |
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Definition
avascular necrosis,
carpal instability,
arthritis |
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Term
| Most frequently dislocated carpal |
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Definition
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Term
| Wrist position for lunate dislocation |
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Definition
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Term
| Treatment of dislocated lunate (2+) |
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Definition
splint wrist in flex for 3 wk (no ext for 5-6 wk),
open reduction |
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Term
| Perilunate dislocation 2º to tearing of ligts between _____ & ______ |
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Definition
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Term
| Perlunate dislocation >> ?? (2) |
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Definition
| carpal instability, arthritis |
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Term
| Rx for perilunate dislocation |
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Definition
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Term
| S/Sx suggesting carpal instability (3) |
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Definition
local tenderness,
crepitus,
click c radial/ulnar dev |
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Term
| Ballotment test, and positive result |
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Definition
forward/backward displacement of triquetrum on lunate;
+ = pain, crepitus, excessive laxity |
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Term
|
Definition
| avascular necrosis of lunate |
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Term
| Most frequently fx carpal bone = |
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Definition
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Term
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Definition
| connects prox & distal carpal rows |
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Term
| Why is scaphoid fx usually missed? |
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Definition
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Term
| Scaphoid fx more likely in M/F? |
|
Definition
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Term
|
Definition
axial compression through digits 2/3,
percussion on top of thumb,
forced ext of wrist (close packed),
active, resisted pronation,
scaphoid fx test (stress pronated hand into ulnar dev >> pain in anatomical snuffbox) |
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Term
| Best way to detect scaphoid fx (imaging) |
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Definition
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|
Term
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Definition
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Term
| Any fx or dislocation in hand has potential to cause... |
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Definition
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Term
| Common mech of injury to triangular fibrocartilage |
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Definition
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Term
| MD exam for carpal instability |
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Definition
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Term
| Ulnar collat ligt injury. aka.... |
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Definition
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Term
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Definition
| stress in full ext & slight flex |
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Term
| Complete tear of ulnar collat ligt on x-ray = |
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Definition
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|
Term
| What type of fx common c gamekeeper's thumb? |
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Definition
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|
Term
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Definition
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Term
|
Definition
night sx,
pain,
paresthesia,
motor disturbances,
atrophy of thenar eminence |
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|
Term
|
Definition
tenosynovitis,
metabolic conditions,
pregnancy,
endocrine disorders,
arhtritis,
fx,
C-spine |
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Term
|
Definition
Phalen's,
Tinel's,
Median n compression test (direct, sustained pressure over carpal tunnel),
thumb to little finger, tip to tip |
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Term
|
Definition
NSAIDS,
splinting (neutral/slight ext),
rest,
ionto,
modalities,
tendon gliding |
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Term
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Definition
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Term
| Ulnar n entrapment... where? |
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Definition
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Term
| Mech of injury for ulnar n entrapment (2) |
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Definition
| repetitive blows, sustained pressure |
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Term
|
Definition
altered sensation in little finger,
atrophy of hypothenar eminence, interossei, medial lumbricals |
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Term
| Clinical tests for ulnar n entrapment (3) |
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Definition
Froment's Sign (thumb adductors),
Interossei,
digit 5 abd |
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Term
|
Definition
cessation/modification of activity,
surgery |
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Term
| DeQuervain's tenosynovitis affects tendons of (2) |
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Definition
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Term
| DeQuervain's tenosynovitis causes _____ in tendon sheath |
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Definition
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Term
| S/Sx of DeQuervain's tenosynovitis (4) |
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Definition
pain in tendons of anatomical snuffbox,
Finkelstein's test,
resisted radial dev,
crepitus |
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Term
| DeQuervain's tenosynovitis Rx (7) |
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Definition
TFM,
modalities,
rest,
change activity,
stretching,
cortisone,
spica splint |
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