Carpal Tunnel Syndrome Flash Cards

 
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True/False

Extensor tendons are thinner than flexor tendons?
TRUE 0 MichaelMorano Mon, 27 Sep 2010 02:20:46 GMT view revision history
True/False

Extensor injuries are LESS common then flexor because they are more superficial
FALSE

EXTENSOR INJURIES ARE MORE COMMON BECAUSE THEY ARE MORE SUPERFICIAL
0 MichaelMorano Mon, 27 Sep 2010 02:20:46 GMT view revision history
Dupuytren's disease? -PROGRESSIVE FIBROSIS OF PALMER APONEUROSIS
-MAINLY MEN OVER 40
-ETOH, EPILEPSY, GOUT
-PAINLESS
-PRODUCES A FIXED FLEXION CONTRACTURE OF ONE OR MORE DIGITS
0 MichaelMorano Mon, 27 Sep 2010 02:17:32 GMT view revision history
Tx for a mallet finger? SPLINT IN SLIGHT EXTENSION FOR 8 WEEKS 0 MichaelMorano Mon, 27 Sep 2010 02:17:32 GMT view revision history
Innability to actively extend the DIP joint? MALLET FINGER 0 MichaelMorano Mon, 27 Sep 2010 02:17:32 GMT view revision history
Avulsion Fx? TENDON PULLS FROM THE BONE

(DELTOID LIGAMENT PULLS PART OF MEDIAL MALLEOLUS OFF)
0 MichaelMorano Mon, 27 Sep 2010 02:17:32 GMT view revision history
What is the tx goal of RA? DECREASE PAIN 0 MichaelMorano Mon, 27 Sep 2010 01:56:45 GMT view revision history
True/False

About two million Americans have RA, and most of them are women?
TRUE 0 MichaelMorano Mon, 27 Sep 2010 01:56:45 GMT view revision history
What is rheumatoid arthritis? A CHRONIC, OR LONG TERM, INFLAMMATORY FORM OF ARTHRITIS
(AUTOIMMUNE)
0 MichaelMorano Mon, 27 Sep 2010 01:56:45 GMT view revision history
Clinical signs of boutonniere deformity? -FLEXION OF PIP
-HYPER EXTENSION OF DIP
0 MichaelMorano Mon, 27 Sep 2010 01:56:45 GMT view revision history
A partial tear from skier's thumb will result in immobilization for? 6 WEEKS 0 MichaelMorano Mon, 27 Sep 2010 00:23:22 GMT view revision history
Signs and symptoms of skier's thumb? -SWELLING AND TENDERNESS OVER ULNAR ASPECT
-PAIN WITH VALGUS STRESS
-PARTIAL TEAR: 6 WEEKS IMMOBILIZATION
-COMPLETE TEARS USUALLY REQUIRE SURGERY
0 MichaelMorano Mon, 27 Sep 2010 00:23:22 GMT view revision history
Skier's thumb? SPRAIN IN THE ULNAR COLLATERAL LIGAMENT OF 1ST MCP JOINT 0 MichaelMorano Mon, 27 Sep 2010 00:23:22 GMT view revision history
Sprain in the ulnar collateral ligament is AKA? SKIER'S THUMB 0 MichaelMorano Mon, 27 Sep 2010 00:23:22 GMT view revision history
Tx for a Bennett's fx? -SURGERY AND IMMOBILIZATION FOR 2-3 WEEKS
-REHAB TO REGAIN ROM AND STRENGTH
0 MichaelMorano Mon, 27 Sep 2010 00:08:10 GMT view revision history
MOI of a Bennett's fx? PUNCH OR FALL ON ABDUCTED THUMB 0 MichaelMorano Mon, 27 Sep 2010 00:08:10 GMT view revision history
Location of a Bennett's fx? BASE OF 1ST METACARPAL 0 MichaelMorano Mon, 27 Sep 2010 00:08:10 GMT view revision history
Myotomes? MUSCLES INNERVATED BY A SPECIFIC NERVE ROOT 0 MichaelMorano Mon, 27 Sep 2010 00:08:10 GMT view revision history
Dermatomes? SKIN INNERVATED BY A SPECIFIC NERVE 0 MichaelMorano Sun, 26 Sep 2010 23:50:49 GMT view revision history
What tx is given to someone with ulnar nerve compression? -SPLINT
-NSAIDS
-CHANGE GRIP
0 MichaelMorano Sun, 26 Sep 2010 23:50:49 GMT view revision history
Where is parasthesia felt with ulnar nerve compression? 5TH AND ULNAR SIDE OF 4TH FINGER 0 MichaelMorano Sun, 26 Sep 2010 23:50:49 GMT view revision history
Where is the Guyon's canal located? BETWEEN THE PISIFORM AND HAMATE 0 MichaelMorano Sun, 26 Sep 2010 23:50:49 GMT view revision history
What will surgeons do to relieve pressure in the carpal tunnel? CUT THE TRANSVERSE CARPAL LIGAMENT 0 MichaelMorano Sun, 26 Sep 2010 23:42:29 GMT view revision history
Volar? ANTERIOR/PALMAR 0 MichaelMorano Sun, 26 Sep 2010 23:42:29 GMT view revision history
Tx of choice for carpal tunnel? CONSERVATIVE TX
-SPLINT
-NSAIDS
-SURGERY
0 MichaelMorano Sun, 26 Sep 2010 23:42:29 GMT view revision history
Extrensic flexors? CROSS THE WRIST JOINT (FDS, FDP) 0 MichaelMorano Sun, 26 Sep 2010 23:42:29 GMT view revision history
Contraindicaitons after immobilization of a scaphoid fx? PASSIVE STRETCHING/MOBILIZATION EXERCISES 0 MichaelMorano Sun, 26 Sep 2010 22:26:35 GMT view revision history
What is probably the most clinical feature to determine a scaphoid fx? PAIN IN THE ANATOMICAL SNUFF BOX 0 MichaelMorano Sun, 26 Sep 2010 22:26:35 GMT view revision history
MOI for scaphoid fx's? WRIST HYPEREXTENSION WITH ULNAR DEVIATION 0 MichaelMorano Sun, 26 Sep 2010 22:15:20 GMT view revision history
What is unige about a scaphoid fx? - RAY IS OFTEN NORMAL
-BONE SCAN AFTER 48 HOURS
0 MichaelMorano Sun, 26 Sep 2010 22:15:20 GMT view revision history
This fx will show a loss of grip strength? SCAPHOID FX 0 MichaelMorano Sun, 26 Sep 2010 22:15:20 GMT view revision history
This fx will have minimal pain and will be tender over the anatomical snuff box? SCAPHOID FX 0 MichaelMorano Sun, 26 Sep 2010 22:15:20 GMT view revision history
MOI of a scaphoid fx? FALL ON OUTSTREATCHED HAND 0 MichaelMorano Sun, 26 Sep 2010 22:05:57 GMT view revision history
Who are colles' fx's most common in? MIDDLE AGED AND ELDERLY WOMEN 0 MichaelMorano Sun, 26 Sep 2010 22:05:57 GMT view revision history
Tx for a colles' fx? -COLSED REDUCTION ORIF OR EXT FIXATION
-6 WEEKS ARM PLASTER
-REHAB GEARED AT REGAINING FULL ROM
0 MichaelMorano Sun, 26 Sep 2010 22:05:57 GMT view revision history
This fx will have a dinner fork deformity? COLLES' FX 0 MichaelMorano Sun, 26 Sep 2010 22:05:57 GMT view revision history
When does rehabilitation begin after a colles' fx? IMMEDIATELY, DURING IMMOBILIZATION 0 MichaelMorano Sun, 26 Sep 2010 21:53:12 GMT view revision history
MOI of a colles' fx? FALL ON AN OUTSTREATCHED ARM 0 MichaelMorano Sun, 26 Sep 2010 21:53:12 GMT view revision history
Colles' fx is a fx of what bone? DISTAL RADIUS (DORSAL DIRECTION) 0 MichaelMorano Sun, 26 Sep 2010 21:53:12 GMT view revision history
What is the most common wrist fracture? COLLE' FX 0 MichaelMorano Sun, 26 Sep 2010 21:53:12 GMT view revision history
What structures are irritiated with De Quervian's Tenosynovitis? INFLAMMATION OF THE ABDUCTOR POLLICIS LONGUS AND EXTENSOR POLLICIS BREVIS 0 MichaelMorano Sun, 26 Sep 2010 21:38:53 GMT view revision history
When does the moderate protection phase begin with flexor tendon injuries? BEGINS AT 4 WEEKS AND CAN LAST UP TO 8 WEEKS POST OP 0 MichaelMorano Sun, 26 Sep 2010 21:38:53 GMT view revision history
If a dynamic splint is worn during the day, what can be worn at night? STATIC DORSAL BLOCKING SPLINT 0 MichaelMorano Sun, 26 Sep 2010 21:38:53 GMT view revision history
What is of utmost importance after hand surgery? PATIENT EDUCATION 0 MichaelMorano Sun, 26 Sep 2010 21:38:53 GMT view revision history
What is the rationale for early controlled motion after tendon repair? -DECREASES POSTOPERATIVE EDEMA
-MAINTAINS TENDON-GLIDING
-DECREASES FORMATION OF ADHESIONS
-INCREASES SYNOVIAL FLUID DIFFUSION
-INCREASES WOUND MATURATION
-DECREASES GAP FORMATION (SPACE BETWEEN THE TENDON)
0 MichaelMorano Sun, 26 Sep 2010 21:12:45 GMT view revision history
-Worn exclusively for exercise sessions
-No dynamic traction with elastic bands
-Allows full wrist flexion and limited (approx 30 degrees) wrist extention, but maintains the MCP joints in at least 60 degrees of flexion and IP joints in full extension when the straps are secured.
-
DORSAL TENDONESIS SPLINT WITH WRIST HINGE 0 MichaelMorano Sun, 26 Sep 2010 21:12:45 GMT view revision history
-Allows early motion of the operated joint while the hand is in the splint
-At rest, the elastic band provides dynamic traction that holds the operated finger in flexion
-Allows active extention of the IP joints to the surface of the dorsal splint
-While the PIP and DIP extensor relax, the tension from the elastic band pulls on the finger, causing passive flexion
DORSAL BLOCKING SPLINT WITH DYNAMIC TRACTION 0 MichaelMorano Sun, 26 Sep 2010 21:12:45 GMT view revision history
-Restricts wrist and MCP extention
-worn during early phases of rehabilitation
-Removed/loosened for early exercises
-Worn as a protective night splint?
STATIC DORSAL BLOCKING SPLINT 0 MichaelMorano Sun, 26 Sep 2010 21:12:45 GMT view revision history
After being post op for 10 days. What motions should you limit in that time period after CTS surgery? AVOID ACTIVE WRIST FLEXION PAST NEUTRAL AS WELL AS ACTIVE FINGER FLEXION WITH WRIST FLEXED 0 MichaelMorano Sun, 26 Sep 2010 02:18:50 GMT view revision history
What are two common impairments associated with CTS? -SENSORY LOSS
-MOTOR WEAKNESS
0 MichaelMorano Sun, 26 Sep 2010 02:18:50 GMT view revision history
In non operative patients, what position is the wrist splinted in? NEUTRAL 0 MichaelMorano Sun, 26 Sep 2010 02:18:50 GMT view revision history
About 10% of the population does not possess this muscle? PALMARIS LONGUS 0 MichaelMorano Sun, 26 Sep 2010 02:18:50 GMT view revision history
Phalen's test and tinel sign are performed to test for what nerve? MEDIAN NERVE 0 MichaelMorano Sun, 26 Sep 2010 01:28:42 GMT view revision history
What are the special tests for CTS? -PHALEN'S TEST
-TINEL SIGN
0 MichaelMorano Sun, 26 Sep 2010 01:28:42 GMT view revision history
Where is parasthesia felt with CTS? FIRST 3.5 FINGERS (RADIAL SIDE OF 4TH FINGER) 0 MichaelMorano Sun, 26 Sep 2010 01:05:39 GMT view revision history
Where is pain felt in CTS? ANTERIOR (VOLAR) WRIST 0 MichaelMorano Sun, 26 Sep 2010 01:05:39 GMT view revision history
What components pass through the carpal tunnel? -FDL
-FDS
-PALMARIS LONGUS
-MEDIAN NERVE
0 MichaelMorano Sun, 26 Sep 2010 01:05:39 GMT view revision history
What nerve is affected by carpal tunnel syndrome? MEDIAN NERVE 0 MichaelMorano Sun, 26 Sep 2010 01:05:39 GMT view revision history

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