Hand and Wrist Patient Intake and Examination

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What is the primary purpose of asking the patient about their dominant hand?

To assess the patient's pain tolerance

To evaluate the patient's emotional state

To understand how the injury may impact the patient's daily activities (correct)

To determine the patient's level of hand dexterity

What is the purpose of the Tinel's test during the wrist exam?

To evaluate for carpal tunnel syndrome (correct)

To assess for tendon inflammation

To check for range of motion limitations

To measure grip strength

Which of the following is NOT a range of motion that can be assessed during the wrist exam?

Radial and ulnar deviation

Flexion and extension

Circumduction

Pronation and supination (correct)

What is the purpose of the Fovea sign during the wrist exam?

To assess for a triangular fibrocartilage complex (TFCC) injury Signup and view all the answers

Which of the following is NOT a key piece of information the clinician should ask the patient about during the history taking for a injury?

Patient's medications Signup and view all the answers

What anatomical structures would the clinician palpate during the wrist exam?

The radius and ulna bones, distal radioulnar joints, and carpal bones Signup and view all the answers

What is the primary purpose of the Finkelstein's test during the wrist exam?

To assess for pain with passive ulnar deviation of the wrist Signup and view all the answers

What is the primary purpose of the Phalen's test during the wrist exam?

To assess for numbness and tingling in the median nerve distribution Signup and view all the answers

Which type of wrist pain is associated with de Quervain's tenosynovitis and carpal-metacarpal osteoarthritis?

Radial-sided wrist pain Signup and view all the answers

What is a common presentation of De Quervain’s Tenosynovitis?

Radial wrist pain worsened with lifting Signup and view all the answers

What is a positive special test associated with TFCC Tear?

Fovea sign Signup and view all the answers

Which diagnostic test is considered the best for diagnosing TFCC Tear?

MRI Arthrogram Signup and view all the answers

What is a common cause of tendonitis of the ulnar wrist extensors?

Repetitive overuse Signup and view all the answers

What type of pain is typically associated with Radiocarpal Osteoarthritis?

Morning stiffness with joint swelling Signup and view all the answers

What is the primary treatment for de Quervain's tenosynovitis?

Ice, thumb spica splints, rest, physical therapy, and steroid injections Signup and view all the answers

What is a common presentation of tendonitis of the ulnar wrist extensors?

Ulnar-sided wrist pain, clicking, popping, and decreased range of motion Signup and view all the answers

What is the gold standard for diagnosing median nerve compression?

EMG confirmation Signup and view all the answers

What is the primary treatment for a forearm fracture in both arms?

Open reduction with internal fixation Signup and view all the answers

What is the key difference between a Monteggia fracture and a Galeazzi fracture?

Monteggia involves a fracture of the ulna shaft with a proximal radius dislocation, while Galeazzi involves a fracture of the radial shaft with a distal ulna dislocation. Signup and view all the answers

What is the acronym used to remember the key difference between Monteggia and Galeazzi fractures?

MUGR Signup and view all the answers

What is the most common mechanism of injury for a mallet finger?

Jamming the tip of the finger Signup and view all the answers

In trigger finger, what prevents the tendon from sliding under a pulley?

Nodule of inflammation Signup and view all the answers

Which type of infection primarily causes paronychia?

Bacterial infection Signup and view all the answers

What percentage of nail involvement in a subungual hematoma requires nail removal and suturing?

More than 50% Signup and view all the answers

What is the most common metacarpal fracture known as?

Boxer's fracture Signup and view all the answers

Which finger is most commonly affected in Jersey finger injuries?

Ring finger Signup and view all the answers

What is the first-line treatment for septic tenosynovitis?

Incision and drainage with IV antibiotics Signup and view all the answers

What is the most common cause of trigger finger in children?

Congenital condition Signup and view all the answers

Which wrist injury requires surgical repair?

Flexor tendon rupture due to forceful extension of the DIP joint Signup and view all the answers

What is the main treatment approach for Metacarpal Fracture with more than 40% angulation?

Surgical reduction and pinning of the pinkie finger Signup and view all the answers

What is the primary treatment for a felon, an abscess of the finger pad?

Incision and drainage with antibiotics Signup and view all the answers

What percentage of nail involvement in a subungual hematoma requires nail removal and suturing?

50% Signup and view all the answers

What is the characteristic presentation of a boutonneiere deformity?

Flexion of the PIP and hyperextension of the DIP Signup and view all the answers

What is the most common cause of paronychia, a digital infection?

Localized staph cellulitis Signup and view all the answers

Which fingers are most commonly affected by Dupuytren's contracture?

Ring and small finger Signup and view all the answers

What test is used to diagnose carpometacarpal osteoarthritis?

Grind test Signup and view all the answers

What is the treatment of choice for a skier's or gamekeeper's thumb injury without displacement or mild laxity?

Thumb spica cast for 6 weeks Signup and view all the answers

What condition is characterized by an avulsion fracture where the ligament pulls off a piece of the bone?

Skier's or gamekeeper's thumb Signup and view all the answers

If a contracture of the thumb is more than what degree, surgery is indicated?

30 degrees Signup and view all the answers

What radiographic finding is associated with carpometacarpal osteoarthritis?

Osteophytes and joint narrowing Signup and view all the answers

What is the key feature finding for a scaphoid fracture?

Pain in the snuff box Signup and view all the answers

Why does casting for a torus fracture in children differ from adults?

Children have more flexible bones Signup and view all the answers

What can happen if a scaphoid fracture is not properly healed with immobilization?

Osteonecrosis Signup and view all the answers

Why do younger children with torus fractures require a longer cast?

Short arm casts would fall off younger children Signup and view all the answers

What is the first-line treatment for both types of fractures of the distal radius discussed?

Immobilization with splints Signup and view all the answers

Which type of wrist fracture is caused by a fall on an outstretched hand with the wrist extended?

Colles fracture Signup and view all the answers

What is the typical treatment for a Colles fracture with less than 15 degrees of angulation?

Short arm cast for 6 weeks Signup and view all the answers

What is the key difference between a Colles fracture and a Smith fracture?

The wrist is extended in a Colles fracture, but flexed in a Smith fracture Signup and view all the answers

What is the typical treatment for a Smith fracture?

Short arm cast for 6 weeks Signup and view all the answers

What is the relative frequency of Colles fractures compared to Smith fractures?

Colles fractures are much more common than Smith fractures Signup and view all the answers

What is the primary treatment for a septic tenosynovitis?

Incision and drainage with IV antibiotics Signup and view all the answers

Which condition is characterized by an avulsion fracture where the ligament pulls off a piece of the bone?

Gamekeeper's thumb Signup and view all the answers

What is the primary purpose of the Finkelstein's test during the wrist exam?

To assess for de Quervain's tenosynovitis Signup and view all the answers

In trigger finger, what prevents the tendon from sliding under a pulley?

A nodule of inflammation Signup and view all the answers

What is the treatment of choice for a skier's or gamekeeper's thumb injury without displacement or mild laxity?

Splinting and immobilization Signup and view all the answers

What is the primary purpose of asking the patient about their dominant hand during the wrist exam?

To evaluate for potential nerve compression syndromes Signup and view all the answers

What is the primary treatment for a felon, an abscess of the finger pad?

Incision and drainage with antibiotics Signup and view all the answers

What is the most common cause of trigger finger in children?

Congenital Signup and view all the answers

What is the main treatment approach for Metacarpal Fracture with more than $40%$ angulation?

Reduction and percutaneous pinning Signup and view all the answers

What is a positive special test associated with TFCC Tear?

Press test Signup and view all the answers

Hand and Wrist Patient Intake and Examination

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Questions and Answers

What is the primary purpose of asking the patient about their dominant hand?

What is the purpose of the Tinel's test during the wrist exam?

Which of the following is NOT a range of motion that can be assessed during the wrist exam?

What is the purpose of the Fovea sign during the wrist exam?

Which of the following is NOT a key piece of information the clinician should ask the patient about during the history taking for a injury?

What anatomical structures would the clinician palpate during the wrist exam?

What is the primary purpose of the Finkelstein's test during the wrist exam?

What is the primary purpose of the Phalen's test during the wrist exam?

Which type of wrist pain is associated with de Quervain's tenosynovitis and carpal-metacarpal osteoarthritis?

What is a common presentation of De Quervain’s Tenosynovitis?

What is a positive special test associated with TFCC Tear?

Which diagnostic test is considered the best for diagnosing TFCC Tear?

What is a common cause of tendonitis of the ulnar wrist extensors?

What type of pain is typically associated with Radiocarpal Osteoarthritis?

What is the primary treatment for de Quervain's tenosynovitis?

What is a common presentation of tendonitis of the ulnar wrist extensors?

What is the gold standard for diagnosing median nerve compression?

What is the primary treatment for a forearm fracture in both arms?

What is the key difference between a Monteggia fracture and a Galeazzi fracture?

What is the acronym used to remember the key difference between Monteggia and Galeazzi fractures?

What is the most common mechanism of injury for a mallet finger?

In trigger finger, what prevents the tendon from sliding under a pulley?

Which type of infection primarily causes paronychia?

What percentage of nail involvement in a subungual hematoma requires nail removal and suturing?

What is the most common metacarpal fracture known as?

Which finger is most commonly affected in Jersey finger injuries?

What is the first-line treatment for septic tenosynovitis?

What is the most common cause of trigger finger in children?

Which wrist injury requires surgical repair?

What is the main treatment approach for Metacarpal Fracture with more than 40% angulation?

What is the primary treatment for a felon, an abscess of the finger pad?

What percentage of nail involvement in a subungual hematoma requires nail removal and suturing?

What is the characteristic presentation of a boutonneiere deformity?

What is the most common cause of paronychia, a digital infection?

Which fingers are most commonly affected by Dupuytren's contracture?

What test is used to diagnose carpometacarpal osteoarthritis?

What is the treatment of choice for a skier's or gamekeeper's thumb injury without displacement or mild laxity?

What condition is characterized by an avulsion fracture where the ligament pulls off a piece of the bone?

If a contracture of the thumb is more than what degree, surgery is indicated?

What radiographic finding is associated with carpometacarpal osteoarthritis?

What is the key feature finding for a scaphoid fracture?

Why does casting for a torus fracture in children differ from adults?

What can happen if a scaphoid fracture is not properly healed with immobilization?

Why do younger children with torus fractures require a longer cast?

What is the first-line treatment for both types of fractures of the distal radius discussed?

Which type of wrist fracture is caused by a fall on an outstretched hand with the wrist extended?

What is the typical treatment for a Colles fracture with less than 15 degrees of angulation?

What is the key difference between a Colles fracture and a Smith fracture?

What is the typical treatment for a Smith fracture?

What is the relative frequency of Colles fractures compared to Smith fractures?

What is the primary treatment for a septic tenosynovitis?

Which condition is characterized by an avulsion fracture where the ligament pulls off a piece of the bone?

What is the primary purpose of the Finkelstein's test during the wrist exam?

In trigger finger, what prevents the tendon from sliding under a pulley?

What is the treatment of choice for a skier's or gamekeeper's thumb injury without displacement or mild laxity?

What is the primary purpose of asking the patient about their dominant hand during the wrist exam?

What is the primary treatment for a felon, an abscess of the finger pad?

What is the most common cause of trigger finger in children?

What is the main treatment approach for Metacarpal Fracture with more than $40%$ angulation?

What is a positive special test associated with TFCC Tear?

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