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Questions and Answers
Which of the following is a common outcome scale used in hand evaluation?
What does the term 'tenodesis' refer to in hand evaluation?
What do Herberden's nodes and Bouchard's nodes indicate in hand examination?
Which fracture is most common in post-menopausal women and is usually caused by a FOOSH injury?
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Which fracture is characterized by dorsal displacement of the distal fracture fragments, resulting in a 'dinner fork deformity'?
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Which fracture occurs when there is a fall onto a flexed wrist or a direct blow to the back of the wrist, resulting in volar displacement of the distal fragment?
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Which of the following tests is used to assess for carpal tunnel syndrome?
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Which deformity is characterized by the lateral bands falling volar to the PIP joint axis, resulting in excessive flexion of the PIP joint and hyperextension of the DIP joint?
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Which test is used to assess for scapholunate instability?
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Which of the following is NOT a method used to assess volume displacement of edema?
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Which joint is primarily involved in wrist flexion?
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What is the abnormal response observed in Hoffman's test?
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Which of the following is a treatment option for Dupuytren's disease?
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What is the recommended treatment for mallet finger?
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What is the characteristic symptom of scaphoid fractures?
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Study Notes
Hand Injuries and Conditions: Treatment and Management
- Extensor digitorum should not be relied upon for extension.
- Regaining wrist extension and forearm supination can be challenging.
- Forearm rotation may be affected.
- Middle phase goals (6-8 weeks) include increasing range of motion (ROM), gentle strengthening, scar control, and functional use activities.
- Late phase goals (8-12 weeks) include maximizing ROM, promoting strength in grip, pinch, wrist, forearm, elbow, and shoulder, and returning to activities of daily living (ADLs) and work.
- Orthopedic options for treatment include open reduction internal fixation (ORIF) with plating, volar or dorsal plating, and bone grafting.
- Early referral for evaluation and wound care is recommended.
- Scaphoid fractures typically result from a fall onto the hand and are characterized by pain in the anatomical snuffbox. Treatment involves forearm-based thumb spica or volar-based orthosis.
- Finger fractures can result from various causes and may require different types of splinting or immobilization depending on the location of the injury.
- Boxer's fractures occur at the neck of the 5th metacarpal and are typically treated with an ulnar gutter orthosis.
- Mallet finger is caused by a rupture or avulsion of the terminal tendon and is treated with no range of motion (ROM) of the distal interphalangeal (DIP) joint and a DIP/stack orthosis in slight hyperextension.
- Dupuytren's disease causes flexion contracture of the MP and PIP joints. Surgical treatment involves fasciectomy or fasciotomy, and postoperative care includes wound care, edema control, orthosis, scar management, and hand exercises.
- Skier's thumb is the rupture of the ulnar collateral ligament (UCL) of the thumb. Treatment can be conservative with a short opponens orthosis or surgical with ORIF and UCL reattachment. Postoperative care involves cast immobilization, scar management, edema control, and thumb range of motion (ROM) exercises.
- TFCC injuries can result from fractures or trauma and may require conservative treatment or surgical evaluation with repair. Immobilization and rehabilitation protocols are followed postoperatively.
- CMC arthritis affects the trapezium and base of the 1st metacarpal. Treatment involves orthosis, gentle active range of motion (AROM), activity modification, and pain management.
- De Quervain's tenosynovitis is inflammation of the APL and EPB tendon sheaths. Treatment includes orthosis, AROM, and activity modification.
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Description
Test your knowledge on the treatment and management of hand injuries and conditions with this informative quiz. Explore topics such as extensor digitorum function, regaining wrist extension, orthopedic treatment options, and postoperative care for various hand injuries. Challenge yourself and improve your understanding of hand injury management.
