MCP Joints
CMC Joints
PIP and DIP Joints
Carpal Tunnel
Clinical Example
100

What bony shape forms the MCP joint surface at the metacarpal head?

What is a convex metacarpal head?

100

Which CMC joint is a saddle joint?

What is the 1st CMC joint?

100

Which structure prevents hyperextension at the PIP joint?

What is the volar plate?

100

Which nerve passes through the carpal tunnel?

What is the median nerve?

100

A patient reports locking of the finger in flexion. Which structure is likely involved?

What is the A1 pulley?

200

Which structure tightens during MCP flexion to prevent abduction/adduction?

What is the collateral ligament?

200

Which motion combines abduction + flexion + medial rotation at the thumb?

What is opposition?

200

What tendon is primarily responsible for DIP flexion?

What is the flexor digitorum profundus (FDP)?

200

How many tendons pass through the carpal tunnel?

What is nine tendons + one nerve?

200

A patient has numbness in digits 4 and 5. What nerve is involved?

What is the ulnar nerve?

300

Which muscle group produces both MCP flexion and IP extension?

What are the lumbricals and interossei?

300

Which CMC joints are the most stable and least mobile?

What are CMC 2 and 3?

300

What deformity results from a PIP flexion + DIP hyperextension pattern?

What is a Boutonnière deformity?

300

What is a hallmark motor sign of carpal tunnel syndrome?

What is thenar muscle weakness (APB)?

300

A 70-year-old woman has nodules in the palm and finger contractures. What condition is likely?

What is Dupuytren’s contracture?

400

What arthrokinematic motion occurs during MCP flexion?

What is anterior roll + anterior slide?

400

Which ligament is the primary stabilizer preventing  subluxation dorsally and radially at the 1st CMC joint?

What is the dorsoradial ligament?

400

Which joint is more commonly injured in ball-handling sports due to its larger ROM?

What is the PIP joint?

400

Which special test recreates symptoms by placing the wrist in full flexion?

What is Phalen’s test?

400

A patient has a fall onto an outstretched hand and now has wrist pain + dinner-fork deformity. What fracture?

What is a Colles fracture?

500

Which MCP joint is most commonly involved in trigger finger?

What is the 3rd or 4th MCP (most common)?

500

During thumb CMC opposition, which specific arthrokinematic motions occur at the trapezium–metacarpal joint in each plane, and how do these combine to produce true opposition?

  • Flexion: ulnar roll + ulnar slide

  • Abduction: anterior roll + posterior slide

  • Axial rotation: medial rotation of the metacarpal
    These combined produce true opposition.

500

What causes Swan Neck deformity biomechanically?

What is volar plate laxity → PIP hyperextension → DIP flexion?

500

What are two differential diagnoses that mimic carpal tunnel?

What are pronator syndrome and cervical radiculopathy (C6)?

500

A patient cannot flex the DIP after a laceration, which tendon is likely injured?

What is the FDP tendon?

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