Hand Conditions Quiz

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Questions and Answers

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?

  • Phalen's test
  • Tinel's sign
  • Maneuvers test
  • Finkelstein test (correct)

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'?

<p>Sprain of the ulnar collateral ligament (C)</p> Signup and view all the answers

How might Dupuytren's contracture present physically?

<p>Bands pulling fingers into the palm (A)</p> Signup and view all the answers

Which of the following treatments can aid in managing DeQuervain's syndrome?

<p>Steroid injections (A)</p> Signup and view all the answers

What typically happens to the callus after a closed fracture?

<p>It gradually absorbs (A)</p> Signup and view all the answers

What is a common outcome of spraining the ulnar collateral ligament in the thumb?

<p>Swelling and bruising in the thumb (A)</p> Signup and view all the answers

What is the common treatment for a partially torn ligament in the thumb?

<p>It is usually treated in a cast or splint (A)</p> Signup and view all the answers

What causes trigger finger?

<p>Thickening or swelling of the digital sheath (A)</p> Signup and view all the answers

What symptom is commonly associated with carpal tunnel syndrome?

<p>Numbness and tingling in the hand (C)</p> Signup and view all the answers

What is the characteristic appearance of a boutonnière deformity?

<p>The middle joint bends down and the fingertip end joint bends back. (D)</p> Signup and view all the answers

What is a potential treatment option for mild cases of carpal tunnel syndrome?

<p>A splint or brace to rest the wrist (D)</p> Signup and view all the answers

Which of the following is a common symptom of mallet finger?

<p>Drooping of the fingertip. (B)</p> Signup and view all the answers

What treatment is typically recommended for a boutonnière deformity?

<p>Wearing a splint to keep the finger straight. (D)</p> Signup and view all the answers

What occurs with mallet finger injuries?

<p>The thin tendon allowing finger extension is torn (D)</p> Signup and view all the answers

Which procedure may be necessary for complete tears of the ulnar collateral ligament?

<p>Surgical reconstruction of the ligament (C)</p> Signup and view all the answers

How long is a splint typically worn after a boutonnière deformity injury?

<p>Six weeks. (B)</p> Signup and view all the answers

Which of the following is a common cause of injury to the radial collateral ligament?

<p>Jamming the thumb on a ball or another player (C)</p> Signup and view all the answers

What usually causes a mallet finger injury?

<p>A direct blow to the fingertip. (B)</p> Signup and view all the answers

What do the extensor tendons allow you to do?

<p>Straighten your fingers and thumb. (D)</p> Signup and view all the answers

What may be a treatment for severe cases of trigger finger?

<p>Surgical tendon release (A)</p> Signup and view all the answers

Where does the central slip tendon attach?

<p>To the middle bone of the finger. (B)</p> Signup and view all the answers

In the case of a torn central slip, what happens to the finger?

<p>The middle joint cannot straighten, creating a bowing appearance. (D)</p> Signup and view all the answers

What can jamming a finger cause?

<p>Rupture of extensor tendons from their bone attachment (C)</p> Signup and view all the answers

Which condition results from an extensor tendon being cut or separated from the bone?

<p>Mallet finger (A)</p> Signup and view all the answers

What is the primary purpose of a splint for extensor tendon injuries?

<p>To prevent the healing ends of tendons from pulling apart (A)</p> Signup and view all the answers

How long can it take for an extensor tendon to heal completely?

<p>4 to 8 weeks, or longer (C)</p> Signup and view all the answers

What type of injury requires stitches for the tendon?

<p>Tear caused by a minor cut (B)</p> Signup and view all the answers

What happens if the splint is removed early after a tendon injury?

<p>Drooping of the fingertip may occur (A)</p> Signup and view all the answers

What condition describes the flexed position of the middle joint of the finger due to extensor tendon issues?

<p>Boutonnière deformity (D)</p> Signup and view all the answers

What should be done if an extensor tendon injury is not treated properly?

<p>The finger can become stiff and bent-down (A)</p> Signup and view all the answers

What is the primary purpose of static splints?

<p>To provide support and immobilization (A)</p> Signup and view all the answers

Dynamic splints are designed to accomplish which of the following?

<p>Alter the range of passive motion (B)</p> Signup and view all the answers

Which issue is NOT an experiential challenge associated with splinting?

<p>Client motivation (B)</p> Signup and view all the answers

What is a critical benefit of using splints after peripheral nerve injuries?

<p>To substitute for weak or absent muscle strength (A)</p> Signup and view all the answers

Which of the following best describes a reason for using dynamic splints?

<p>To provide directional control and facilitate hand function (A)</p> Signup and view all the answers

What is the primary function of the flexor tendons in the fingers?

<p>To connect muscles to bones (A)</p> Signup and view all the answers

What is typically included in the splinting of a tendon injury on the back of the hand?

<p>The wrist and part of the injured finger (B)</p> Signup and view all the answers

Which zone corresponds to the area from the distal palmar crease to the distal edge of the flexor carpal ligament?

<p>Zone 3 (D)</p> Signup and view all the answers

What can happen if a flexor tendon is injured but not completely cut?

<p>It may still allow movement but could cause pain (D)</p> Signup and view all the answers

What is the purpose of dynamic splinting in tendon injuries?

<p>To facilitate early movement while protecting the healing tendon (B)</p> Signup and view all the answers

What happens to the cut ends of a completely severed tendon?

<p>They separate and do not allow for natural healing (C)</p> Signup and view all the answers

Which type of injuries can result from deep cuts on the palm side of the wrist, hand, or fingers?

<p>Injuries to flexor tendons, nearby nerves, and blood vessels (D)</p> Signup and view all the answers

Why is it unlikely for a cut tendon to heal without surgical intervention?

<p>The ends of the cut tendon typically separate after injury (A)</p> Signup and view all the answers

Flashcards

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

A condition where a thickened tendon sheath in the finger prevents the tendon from gliding smoothly, causing snapping or catching.

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

An injury to the extensor tendon at the tip of a finger, often caused by a forceful bending or impact to the fingertip.

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Tinel's Sign

A physical examination maneuver where tapping on the median nerve at the wrist provokes tingling and numbness in the hand, suggesting carpal tunnel syndrome.

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Ulnar Collateral Ligament (UCL) Surgery

A surgical procedure to repair or reconstruct a torn ulnar collateral ligament in the thumb.

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Carpal Tunnel Steroid Injection

A treatment option for carpal tunnel syndrome that involves injecting steroids into the carpal tunnel to reduce swelling around the median nerve.

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Wrist Splinting

Treatment for carpal tunnel syndrome and other hand conditions that involves resting the wrist in a neutral position to reduce pressure on the median nerve.

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What is De Quervain's tenosynovitis?

De Quervain's tenosynovitis is a painful condition affecting the tendons of the thumb. It causes irritation and swelling in the sheath that surrounds the tendons as they pass from the wrist to the thumb.

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How is De Quervain's tenosynovitis diagnosed?

The Finkelstein test is a common way to diagnose De Quervain's tenosynovitis. It involves making a fist with the thumb tucked in and bent towards the little finger. Pain worsens with this movement.

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What is Dupuytren's contracture?

Dupuytren's contracture is a condition that causes thickening of the fascia (tissue beneath the skin) in the palm. This thickening can lead to bands that pull the fingers into the palm.

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How is Dupuytren's contracture treated?

The main treatment for Dupuytren's contracture is surgery. This is recommended when the bands cause progressive contracture and pull the fingers into the palm.

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What are thumb sprains?

Thumb sprains occur from injuries like sports or falls, where the thumb is jammed into another player, the ground, or a ball. Symptoms include pain, swelling, and bruising.

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What ligament is often injured in thumb sprains?

The ulnar collateral ligament is the most common ligament to be injured in a thumb sprain. This injury is known as 'skier's thumb' due to its occurrence in skiing falls.

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What causes thumb sprains?

Thumb sprains can be caused by twisting the thumb into an extreme position. This usually occurs due to the force of a fall, impact, or sudden movement.

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How are thumb sprains treated?

Treatment for thumb sprains typically involves immobilizing the thumb with a brace or splint to allow the ligament to heal properly.

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Boutonnière Deformity

A condition where the extensor tendon is injured, causing the middle joint of the finger to bend downwards.

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Extensor Tendons

The thin tendons on the back of the hand and fingers, responsible for finger extension.

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Extensor Tendon Tear

A type of injury to the extensor tendons where they are torn away from the bone, often caused by jamming the finger.

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Splinting

A type of treatment for extensor tendon injuries involving placing the injured finger in a rigid support.

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Healing Time for Extensor Tendon Injuries

The time required for an extensor tendon injury to fully heal, typically ranging from 4 to 8 weeks.

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Treatment for Extensor Tendon Injuries

Cuts that split the extensor tendon may require stitches, but tears caused by jamming injuries are often treated with splints.

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Vulnerability of Extensor Tendons

The location of extensor tendons on the back of the hand and fingers makes them vulnerable to injury even by minor cuts.

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What are static splints?

Splints that have no moving parts and are primarily used to provide support and immobilization.

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What are dynamic splints?

Splints that use devices like rubber bands, velcro strips, or springs to control joint movement.

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Why are splints used?

Splints are used to prevent deformities by supporting weakened muscles, often after nerve injuries.

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What else can splints be used to do?

Splints can be used to correct existing deformities, such as a bent finger or a crooked wrist.

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How else can splints aid in hand function?

Splints can provide directional control and be used as a base for attaching other devices to improve hand function.

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Nail Fold

The area at the base of the fingernail, where the nail is attached to the skin.

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PIP joint (Proximal Interphalangeal Joint)

The middle joint of the finger, between the middle and top bones.

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DIP joint (Distal Interphalangeal Joint)

The joint at the tip of the finger, between the top bone and the fingernail.

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MCP joint (Metacarpophalangeal Joint)

The joint at the base of the finger, where the finger connects to the hand.

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Extensor Tendon Injuries

Injuries to the tendons on the back of the hand that extend the fingers, making it difficult to straighten the fingers.

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Dynamic Splinting

A type of splint used for tendon injuries that allows for some finger movement while protecting the healing tendon.

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Flexor Tendon Injury Zone 1

The area on the finger where the flexor tendons are most commonly injured, between the middle of the middle phalanx and the fingertip.

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Flexor Tendon Injury Zone 2

The area on the finger where the flexor tendons are injured, between the middle of the middle phalanx and the distal palmar crease.

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Flexor Tendon Injury Zone 3

The area on the finger where the flexor tendons are injured, between the distal palmar crease and the edge of the flexor carpal ligament.

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Flexor Tendon Injury Zone 4

The area under the carpal ligament where flexor tendon injuries can occur.

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Flexor Tendon Injury Zone 5

The area proximal to the wrist joint where flexor tendon injuries can occur.

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Flexor Tendon Pulleys

Tough, fibrous rings that guide the tendons and keep them close to the bones, allowing for efficient movement of the joints.

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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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