They
True or false: A lunate dislocation is when the proximal row of carpals are stripped from around the lunate
False
True or false: The lunate is proximal to the capitate
True
Which of the following is not commonly associated with carpal tunnel syndrome?
A. MOI of repetitive motion
B. Forward shoulder posture
C. Atrophy of the hypothenar muscles
D. Decreased grip strength
C. Atrophy of the hypothenar muscles
True or false: A Bennett's Fracture is an intra-articular fracture to the base of the 1st metacarpal
True
Which of the following does NOT pass through the carpal tunnel?
A. Flexor digitorum superficialis tendond
B. Flexor pollicis brevis tendon
C. Median nerve
D. Flexor pollicis longus tendon
B. Flexor pollicis brevis tendon
What forms the medial (ulnar) border of the anatomical snuff box?
Extensor Pollicis Longus Tendon
Avulsion or rupture of an flexor tendon of the distal phalanx describes what finger pathology?
Jersey Finger
Avulsion or rupture of an extensor tendon of the distal phalanx describes what pathology?
Mallet Finger
What makes up the floor of the carpal tunnel?
Proximal row of carpals (Trapezium, Trapezium, Capitate, Hamate)
What is normal ulnar deviation ROM?
30°
Fracture in which the distal radius is displaced palmarly is called
Smith's Fracture or Reverse Colle's Fracture
Osteoporosis of the scaphoid is referred to as ___________.
Preiser's Disease
Which of the following is NOT associated with Guyon Canal Syndrome?
A. Paresthesia on the palmar aspect of digits 4 & 5
B. Atrophy of hypothenar muscles
C. Hook of hamate fractures
D. Paresthesia on the dorsal aspect of digits 4 & 5
D. Paresthesia on the dorsal aspect of digits 4 & 5
Describe Boutonniere Deformity
PIP Flexion, MCP Extension, DIP extension
Where do you align the fulcrum when measuring wrist radial/ulnar deviation ROM?
Capitate
The ______ artery supplies the scaphoid at the _____ end.
Radial; Distal
Pain with CKC activities is most characteristic of what ulnar sided wrist injury?
TFCC
Osteochondritis of the lunate is referred to as:
Kienbock's disease
During the LT shear test, which bone do you stabilize?
Lunate
Describe goniometer alignment (Fulcrum, stationary arm, moving arm) for wrist flexion ROM and provide the normal ROM value
Fulcrum: ulnar styloid process
Stationary arm: midline of ulnar shaft
Moving arm: parallel to longitudinal axis of 5th metacarpal
Normal Flexion – 70°
What test assesses integrity of the scapholunate ligament?
Watson Test
What are the normal end-feels for thumb CMC
A. Flexion
B. Extension
C. Abduction
D. Adduction
A. Thumb flexion (soft)
B. Thumb extension (firm)
C. Thumb abduction (firm)
D. Thumb adduction (soft)
Identify the origin, insertion, and action of flexor digitorum profundus
O: Anteromedial proximal ¾ ulna
I: Bases of distal phalanges, palmar surface of 2nd – 5th fingers
A: DIP flexion of 2nd-5th fingers
Identify the origin, insertion, and action of adductor pollicis
O: Capitate 2nd and 3rd metacarpals
I: Ulnar surface of the base of the proximal phalanx of the thumb
A: Thumb adduction
Identify the origin, insertion, and action of abductor pollicis longus
O: Posterior surface of the distal radius; Posterior surface of the distal ulna; Interosseus membrane
I: Base of 1st metacarpal
A: Thumb abduction