Carpal Tunnel Syndrome Symptoms and Special Tests

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Match the following ligament-related statements with the correct information:

Primary provider of wrist stability = Ligaments Most common cause of wrist sprains = Fall with hyperextension Treatment approach for lax ligaments = Tape reinforcement by athletes Characteristics of sprained ligaments = Lax once sprained

Match the following DeQuervain's Tenosynovitis information with the correct statements:

Area affected by DeQuervain's Tenosynovitis = Abductor pollicis longus and extensor pollicis brevis tendons Main cause of DeQuervain's Tenosynovitis = Repetitive ulnar deviation Common symptoms of DeQuervain's Tenosynovitis = Pain and swelling at radial styloid Special test for DeQuervain's Tenosynovitis diagnosis = Finklestein's Test

Match the following treatment considerations with the correct actions:

Initial treatment for pain and swelling reduction = Wrist and thumb immobilization, modalities Criteria to start active motion after initial treatment = Reduction in pain and swelling Focus of resistance exercise for affected area = Contractions that do not produce symptoms Additional areas addressed during treatment = Motions of wrist and forearm looking for symptomology

Match the following post-operative care information with the corresponding condition:

Post-op care resembling that of CTS = Chronic cases of DeQuervain's Tenosynovitis Indicated intervention for chronic cases = Surgical decompression if necessary Similarity in ligamentous injuries post-treatment = Wrist immobilization after injury Long-term reinforcement method for weak ligaments = Use of tape by athletes Signup and view all the answers

Match the wrist ligament with its function:

Transverse ligament = Responsible for holding the carpal bones in place and forming the carpal tunnel Radial collateral ligament = Provides stability to the wrist on the radial side Ulnar collateral ligament = Provides stability to the wrist on the ulnar side Dorsal radiocarpal ligament = Supports the wrist dorsally Signup and view all the answers

Match the support structure of the wrist with its primary role:

Palmar fascia = Provides protection and support to the tendons and nerves in the palm of the hand Flexor retinaculum = Forms the roof of the carpal tunnel and keeps tendons in place during wrist movements Extensor retinaculum = Helps stabilize extensor tendons on the dorsal side of the wrist Triangular fibrocartilage complex (TFCC) = Supports and cushions the wrist joint, especially the ulnar aspect Signup and view all the answers

Match the symptom with the pathology associated with carpal tunnel syndrome:

Numbness and tingling in median nerve distribution = Carpal tunnel syndrome Pain in wrist but can be muscular = Carpal tunnel syndrome Clumsiness in hand activities = Carpal tunnel syndrome Weak grip in pinch and thumb action = Carpal tunnel syndrome Signup and view all the answers

Match the special test for carpal tunnel syndrome with its description:

Phalen's test = Pressing backs of hands together resulting in tingling after a few seconds Tinel's test = Tapping ventral wrist to stimulate tingling response in median nerve Digital Allen Test = Testing radial and digital artery by compressing arteries and evaluating circulatory recovery ASTYM Test = A better choice for carpal tunnel treatment involving scraping therapy Signup and view all the answers

Match the treatment consideration with its description:

Splinting the affected wrist in 0-20 degrees of extension = Immobilizing the wrist in a specific range to reduce symptoms Injection of corticosteroids = Using anti-inflammatory medication to reduce swelling and pain Exercise of affected limb-primarily elbow and shoulder ROM = Improving range of motion and strength in surrounding areas to support affected wrist Immobilization 2 to 14 days which encourages improper scar tissue development = Potential risk associated with extended immobilization leading to inappropriate scar formation Signup and view all the answers

Match the ligament with its associated surgical procedure for carpal tunnel release:

Transverse ligament = Cut during decompression surgery to release pressure on median nerve Radial collateral ligament = Ulnar collateral ligament = Dorsal radiocarpal ligament = Signup and view all the answers

Match the ligaments of the wrist with their attachment points and functions:

Radial collateral ligament = Attaches to radial styloid and trapezium and scaphoid; Provides lateral support Ulnar collateral ligament = Attaches to ulnar styloid and pisiform and triquetrum; Provides medial support Palmar radiocarpal ligament = Limits wrist extension; Attaches to the anterior ulna and radius and to the anterior surface of the proximal carpals Dorsal radiocarpal ligament = Limits wrist flexion; Attaches from posterior surface of the distal radius to posterior scaphoid, lunate, and triquetrum Signup and view all the answers

Match the support structures of the wrist with their specific functions:

Palmar radiocarpal ligament = Limits wrist extension Dorsal radiocarpal ligament = Limits wrist flexion Radial collateral ligament = Provides lateral support Ulnar collateral ligament = Provides medial support Signup and view all the answers

Match the functions of palmar fascia with its characteristics:

Palmar fascia (palmar aponeurosis) = Superficial triangular fascia on palm of hand; Attachment for the palmaris longus and flexor retinaculum Dorsal radiocarpal ligament = Limits wrist flexion Radial collateral ligament = Provides lateral support Ulnar collateral ligament = Provides medial support Signup and view all the answers

Match the common pathology of the wrist with its description:

Carpal Tunnel Syndrome (CTS) = Affects 4% of the entire US workforce; Entrapment of the median nerve within the carpal tunnel Radial collateral ligament injury = Leads to reduced lateral support Ulnar collateral ligament injury = Results in compromised medial support Palmar fascia inflammation = Causes pain on palm movement Signup and view all the answers

Match special tests for Carpal Tunnel Syndrome with their procedures:

Phalen's test = Patient holds wrists in full flexion for 60 seconds; Positive if tingling or numbness occurs in median nerve distribution Tinel's sign = Tap over median nerve at wrist crease; Positive if tingling sensation radiates into hand Finkelstein's test = Patient makes a fist with thumb inside fingers, then ulnarly deviates wrist; Positive if pain at thumb base is present Durkan's test = Pressure applied directly over carpal tunnel for 30 seconds; Positive if reproduces symptoms in median nerve distribution Signup and view all the answers