Terms in this set (52)
Bennett's fracture and treatment
Bent thumb fracture of base of thumb @ base of 1st metacarpal.
small fracture: thumb spica
Anterior or posterior,
Sling it or surgery
Adhesive capsulitis AKA Frozen shoulder
Painful stage with decreased ROM
Frozen stage with tight/thickened connective tissues
thawing stage to regain ROM
Dynamic/spring loaded splinting
Static stretching splint
A painful and progressive loss of Shoulder ROM due to inflammation and thickening of connective tissue.
Another name for stenosing tenosynovitis
Trigger finger/stenosing tenosynovitis
tightening of tendonous sheath with nodule formation on tendon.
Causes Popping of tendon through sheath
MCP Joint splint
DIP joint splint
Radial/ulnar Longitudinal deficiency
stretching splints prior to surgery. Possible use of external fixation stretching device
Most common radial deficiency with radial deviation
Carpal tunnel only nerve to run through it
Carpal tunnel syndrome
Median nerve entrapment due to small space, and or swelling/aggravation from over-use or vibrating tools
Carpal tunnel tests
Tinel sign:Tapping over Median nerve causes tingling or shooting pain.
Phalen Test: wrist flexion for 60 seconds causes tingling, numbness or weakness
Radial fracture near base(distal) of radius. Tilts dorsally.
Falls with elbow and wrist extended with hand pronated.
treatment - closed reduction and immobilization with cast.
treatment: rest, support, surgery
Tenosynovitis of extensor pollicis brevis and abductor pollicis longus
Pain at base of thumb extending into forearm
Common in women after pregnancy
75% present with abnormal tendon arrangement
DeQuervain's splint or WHO
Test for DeQuervain's
Finkelstein Test: grip thumb and radial deviate.
Positive test results in pain proximal to radial styloid.
Klumpke's palsy or paralysis
C8 and or T1 brachial plexus injury
Klumpke monkey falling from tree
Traumatic childbirth, falling from tree, or tumor removal from area.
Claw hand: flexed wrist, extended MP Joint, flexed DIP and PIP
resting splint/protective spling
Dorsal cock-up splint
Elbow splint to prevent contracture
dupuytren's contracture - definition
contracture due to thickening of palmar fascia
dupuytren's contracture - More common in men or women?
dupuytren's contracture - which digits affected most, why
4th and 5th
Cords form that pull fingers into flexion
dupuytren's contracture - treatment
hand orthosis to assist/hold finger extension
surgery or needling to remove/destroy formed cords
Volkmann's contracture - definition, another term
injury of the forearm causing finger contraction
Volkmann's contracture - common in? Caused by?
Children who have had epicondylar fracture.
Associated with compartment syndrome.
improper use of tourniquet or cast
obstruction of brachial artery
fracture of forearm or elbow
Volkmann's contracture - levels
Mild - 2-3 fingers contracted, no loss of feeling
Moderate - all fingers and wrist flexion contracture, thumb in palm, some loss of sensation
Severe - all muscles controlling hand and wrist involved, severely disabling
Volkmann's contracture - prognosis/treatment
damage may be permanent if nerve compression lasts more than 12-24 hours. otherwise mild cases will recover.
Immobilize above heart, functional and or resting WHO.
Erb's Palsy is
newborn brachial plexus injury
Erb's palsy types of nerve damage
Neurapraxia: stetched to misfunction, but will recover
Neuroma: neuroma forms from injury - usually recovers
Rupture: pulled in two, might? recover if spliced/transplant.
Avulsion: separated from spinal cord, unlikely recovery
Erb's Palsy - test for
Moro reflex test: startle baby, see if they move both arms.
Erb's Palsy - treatment
massage, PT to maintain ROM, surgery for rupture and avulsion if no recovery after 6 mo.
Bursitis -caused by
Other contributors: rheumatic conditions, gout, scoliosis
bursitis - other names
Bartons fracture types
dorsal Barton's fracture
Volar (palmar) Barton's Fracture
Barton's fracture is
angled fracture of distal radius through articular surface
Cause of Dorsal bartons fracture
falling on an extended and pronated wrist
Cause of a Volar Barton's fracture
Falling on a flexed wrist
Unlar fracture that causes dislocation of radius at elbow.
difficulty lifting arm
arm sling or figure of 8 orthosis
weakness/numbness of pinky and partial ring finger
surgical fixation or conservative immobilization treatment
Autoimmune system attacks CNS nerve cells
West Nile virus
Virus that attacks brain cells
causes brain swelling (encephalitis)
can present ans meningitis, encephalitis, or flaccid paralysis
radial head dislocation out of annular ligament
80% ischemic (low blood supply from blockage)
weakness/paralysis of one side of body
typically bilateral presentation with radial dev. metacarpals and ulnar dev. phylanges
synovium rejection/swelling, cartilage and bone damage, tendon stretching
triggered by virus or bacteria
starts in small joints and moves to larger joints
Resting splints, antirheumatic drugs, NSAIDS,
direct fracture - land on olecranon
Indirect fracture - land on semiflexed - supinated forearm fall. and triceps leverage breaks olecranon
treatment - cast, immobilization, ROM limitation, sling
Teres minor because u are sitting down.
Rotator cuff tear treatment
PT, Steroid injection, surgery for full thickness tear
injury of extensor digitorum tendon
DIP joint extension splint
Teenagers at highest risk,
Cause - Axial compression
treatment - cast or splint 6-10 weeks
(carpal navicular and scaphoid are interchangeable like tarsal scaphoid and navicular)
Congenital contractures and weaknesses distally
Treatment - PT, Stretching orthoses, tendon release,amputation
also known as arthogryposis multiplex congenita
Arthro - joint, Grypo - curved
increased risk with increased ROM
Anterior dislocation - (forward) most common, can cause axillary nerve damage (C5,C6)...to deltoid
Posterior dislocation -
Inferior dislocation - least common, but high complication rate
Treatment - closed reduction (setting), PT, immobilization, NSAIDS
wear and tear arthritis
believed to be cytokine driven due to malalignment, trauma, displasia
swollen Dip and pip joints, bone spurs,
Treatment - steroid injections, NSAIDS, PT, weight loss, alignment correcting orthoses, surgery