Podcast
Questions and Answers
What is a common symptom of DeQuervain's stenosing tenosynovitis?
What is a common symptom of DeQuervain's stenosing tenosynovitis?
- Numbness in the fingers
- Swelling in the elbow
- Stiffness in the wrist
- Pain when grasping or pinching (correct)
Which test is used to exacerbate pain in patients with DeQuervain's condition?
Which test is used to exacerbate pain in patients with DeQuervain's condition?
- Phalen's test
- Tinel's sign
- Maneuvers test
- Finkelstein test (correct)
What is the mainstay treatment for Dupuytren's contracture when progression occurs?
What is the mainstay treatment for Dupuytren's contracture when progression occurs?
- Pain medication
- Physical therapy
- Surgical intervention (correct)
- Cold compress therapy
What injury is often referred to as 'skier's thumb'?
What injury is often referred to as 'skier's thumb'?
How might Dupuytren's contracture present physically?
How might Dupuytren's contracture present physically?
Which of the following treatments can aid in managing DeQuervain's syndrome?
Which of the following treatments can aid in managing DeQuervain's syndrome?
What typically happens to the callus after a closed fracture?
What typically happens to the callus after a closed fracture?
What is a common outcome of spraining the ulnar collateral ligament in the thumb?
What is a common outcome of spraining the ulnar collateral ligament in the thumb?
What is the common treatment for a partially torn ligament in the thumb?
What is the common treatment for a partially torn ligament in the thumb?
What causes trigger finger?
What causes trigger finger?
What symptom is commonly associated with carpal tunnel syndrome?
What symptom is commonly associated with carpal tunnel syndrome?
What is the characteristic appearance of a boutonnière deformity?
What is the characteristic appearance of a boutonnière deformity?
What is a potential treatment option for mild cases of carpal tunnel syndrome?
What is a potential treatment option for mild cases of carpal tunnel syndrome?
Which of the following is a common symptom of mallet finger?
Which of the following is a common symptom of mallet finger?
What treatment is typically recommended for a boutonnière deformity?
What treatment is typically recommended for a boutonnière deformity?
What occurs with mallet finger injuries?
What occurs with mallet finger injuries?
Which procedure may be necessary for complete tears of the ulnar collateral ligament?
Which procedure may be necessary for complete tears of the ulnar collateral ligament?
How long is a splint typically worn after a boutonnière deformity injury?
How long is a splint typically worn after a boutonnière deformity injury?
Which of the following is a common cause of injury to the radial collateral ligament?
Which of the following is a common cause of injury to the radial collateral ligament?
What usually causes a mallet finger injury?
What usually causes a mallet finger injury?
What do the extensor tendons allow you to do?
What do the extensor tendons allow you to do?
What may be a treatment for severe cases of trigger finger?
What may be a treatment for severe cases of trigger finger?
Where does the central slip tendon attach?
Where does the central slip tendon attach?
In the case of a torn central slip, what happens to the finger?
In the case of a torn central slip, what happens to the finger?
What can jamming a finger cause?
What can jamming a finger cause?
Which condition results from an extensor tendon being cut or separated from the bone?
Which condition results from an extensor tendon being cut or separated from the bone?
What is the primary purpose of a splint for extensor tendon injuries?
What is the primary purpose of a splint for extensor tendon injuries?
How long can it take for an extensor tendon to heal completely?
How long can it take for an extensor tendon to heal completely?
What type of injury requires stitches for the tendon?
What type of injury requires stitches for the tendon?
What happens if the splint is removed early after a tendon injury?
What happens if the splint is removed early after a tendon injury?
What condition describes the flexed position of the middle joint of the finger due to extensor tendon issues?
What condition describes the flexed position of the middle joint of the finger due to extensor tendon issues?
What should be done if an extensor tendon injury is not treated properly?
What should be done if an extensor tendon injury is not treated properly?
What is the primary purpose of static splints?
What is the primary purpose of static splints?
Dynamic splints are designed to accomplish which of the following?
Dynamic splints are designed to accomplish which of the following?
Which issue is NOT an experiential challenge associated with splinting?
Which issue is NOT an experiential challenge associated with splinting?
What is a critical benefit of using splints after peripheral nerve injuries?
What is a critical benefit of using splints after peripheral nerve injuries?
Which of the following best describes a reason for using dynamic splints?
Which of the following best describes a reason for using dynamic splints?
What is the primary function of the flexor tendons in the fingers?
What is the primary function of the flexor tendons in the fingers?
What is typically included in the splinting of a tendon injury on the back of the hand?
What is typically included in the splinting of a tendon injury on the back of the hand?
Which zone corresponds to the area from the distal palmar crease to the distal edge of the flexor carpal ligament?
Which zone corresponds to the area from the distal palmar crease to the distal edge of the flexor carpal ligament?
What can happen if a flexor tendon is injured but not completely cut?
What can happen if a flexor tendon is injured but not completely cut?
What is the purpose of dynamic splinting in tendon injuries?
What is the purpose of dynamic splinting in tendon injuries?
What happens to the cut ends of a completely severed tendon?
What happens to the cut ends of a completely severed tendon?
Which type of injuries can result from deep cuts on the palm side of the wrist, hand, or fingers?
Which type of injuries can result from deep cuts on the palm side of the wrist, hand, or fingers?
Why is it unlikely for a cut tendon to heal without surgical intervention?
Why is it unlikely for a cut tendon to heal without surgical intervention?
Flashcards
Thumb Sprain
Thumb Sprain
A tear or strain to the ulnar collateral ligament (UCL) in the thumb, often caused by jamming the thumb or forceful bending.
Trigger Finger
Trigger Finger
A condition where a thickened tendon sheath in the finger prevents the tendon from gliding smoothly, causing snapping or catching.
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome
A nerve compression disorder that occurs when the median nerve in the wrist is squeezed, causing numbness, tingling, and pain in the hand and fingers.
Mallet Finger
Mallet Finger
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Tinel's Sign
Tinel's Sign
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Ulnar Collateral Ligament (UCL) Surgery
Ulnar Collateral Ligament (UCL) Surgery
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Carpal Tunnel Steroid Injection
Carpal Tunnel Steroid Injection
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Wrist Splinting
Wrist Splinting
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What is De Quervain's tenosynovitis?
What is De Quervain's tenosynovitis?
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How is De Quervain's tenosynovitis diagnosed?
How is De Quervain's tenosynovitis diagnosed?
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What is Dupuytren's contracture?
What is Dupuytren's contracture?
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How is Dupuytren's contracture treated?
How is Dupuytren's contracture treated?
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What are thumb sprains?
What are thumb sprains?
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What ligament is often injured in thumb sprains?
What ligament is often injured in thumb sprains?
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What causes thumb sprains?
What causes thumb sprains?
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How are thumb sprains treated?
How are thumb sprains treated?
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Boutonnière Deformity
Boutonnière Deformity
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Extensor Tendons
Extensor Tendons
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Extensor Tendon Tear
Extensor Tendon Tear
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Splinting
Splinting
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Healing Time for Extensor Tendon Injuries
Healing Time for Extensor Tendon Injuries
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Treatment for Extensor Tendon Injuries
Treatment for Extensor Tendon Injuries
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Vulnerability of Extensor Tendons
Vulnerability of Extensor Tendons
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What are static splints?
What are static splints?
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What are dynamic splints?
What are dynamic splints?
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Why are splints used?
Why are splints used?
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What else can splints be used to do?
What else can splints be used to do?
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How else can splints aid in hand function?
How else can splints aid in hand function?
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Nail Fold
Nail Fold
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PIP joint (Proximal Interphalangeal Joint)
PIP joint (Proximal Interphalangeal Joint)
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DIP joint (Distal Interphalangeal Joint)
DIP joint (Distal Interphalangeal Joint)
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MCP joint (Metacarpophalangeal Joint)
MCP joint (Metacarpophalangeal Joint)
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Extensor Tendon Injuries
Extensor Tendon Injuries
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Dynamic Splinting
Dynamic Splinting
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Flexor Tendon Injury Zone 1
Flexor Tendon Injury Zone 1
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Flexor Tendon Injury Zone 2
Flexor Tendon Injury Zone 2
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Flexor Tendon Injury Zone 3
Flexor Tendon Injury Zone 3
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Flexor Tendon Injury Zone 4
Flexor Tendon Injury Zone 4
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Flexor Tendon Injury Zone 5
Flexor Tendon Injury Zone 5
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Flexor Tendon Pulleys
Flexor Tendon Pulleys
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Study Notes
Hand Occupational Therapy
- Hand Occupational Therapy focuses on the anatomy, function, and clinical conditions of the hand.
Hand Anatomy
- Hand structures are categorized into bones, joints, ligaments, tendons, muscles, nerves, and blood vessels.
Hand Function
- The hand is described by its range of motions, including wrist extension, flexion, ulnar deviation, radial deviation, finger extension, flexion, abduction, adduction, thumb extension, flexion, abduction, adduction, and opposition.
- Various hand grasp types, such as hook, cylinder, spherical, digital, and lateral prehension, are also noted.
Clinical Conditions
- Clinical implications cover several hand conditions:
- DeQuervain's stenosing tenosynovitis: Irritation, or inflammation, in a tendon sheath affecting the tendons of the thumb
- Hand Fractures: Bone breaks affecting the hand (shaft, articular, or comminuted fractures) with diverse treatment options (casts, braces, internal/external fixation).
- Trigger finger: Inflammation of the tendon sheath that restricts movement of a finger.
- Carpal Tunnel Syndrome: Nerve compression in the wrist, causing pain, numbness, and tingling in the hand.
- Mallet Finger: Injury to the tendon in the fingertip, preventing straightening of the finger
- Boutonnière Deformity: Damaged extensor tendon, resulting in a characteristic bent finger appearance.
- Dupuytren's Contracture: Thickening of the fascia in the palm, pulling fingers toward the palm.
- Sprains: Injuries to the ligaments surrounding joints in the hand, particularly the thumb (skier's thumb).
- Illustrations and anatomical diagrams of different conditions and treatments also exist.
- The 27 bones of the wrist and hand are listed and categorized (carpals, metacarpals, phalanges).
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