Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
Dislocation of the fingers and thumbs |
hi |
|
|
What is the typical History behind dislocation of the finger? |
Sport, Occupation Deformity Post Trauma decrease in Stability |
|
|
Finger Diislocation Examination? |
Observation of length Motion Palp/Ortho tests Neurological/Vascular changes Diagnostic Imaging |
|
|
Treatment of Finger Dislocation - Early |
Reduction Immobilise- flexion splint -> Buddy tape ROM Exercise - Important PT - Anti Inflam: Nutrition(promote heal) |
|
|
Treatment of Finger Dislocation - Down the track in the healing process? |
Mobilise X-Friction Referral - If significant stability loss |
|
|
Wrist Fractures- Morphology, Function & Pathology |
Age: 50 plus: Osteoporosis Foosh Combinations:- Colles - Both radius and Ulnar Smith - Both Monteggia - Shaft of Ulnar and D/C Radial head Galeaszzi - Fract Dist Radius & Ulnar D/C Distal Neuromuscular Complications Carpal Complications |
|
|
Hand position causing Fracture in hand inward or outwards of hand in the following; Colles = In or Out? Smith's = In or Out? |
Colles = OUT Smith's = INWARDS |
|
|
History of Wrist Fractures? |
Trauma! |
|
|
Examination of Wrist Fractures? |
Observe Static Palpation NeuroVasc Exam Diagnostic Imaging |
|
|
Treatment of Wrist Fractures? |
Finger ROM in cast, Upper Extrem ROM Nutrition A-C Magnetic Therapy Spinal Adjustments Rehab Adjust Refer STT Progressive Exercise |
|
|
Carpal Fractures |
Scaphoid Injuries Distal Pole Blood supply cut off High Incidence Avascular Necrosis Suspected? = Cast Non displaced = cast, treatment Displaced = Instability of Carpus, osteoarthrosis & pain NON UNION Angulated = Delayed healing Gap > 2mm Surgery |
|
|
Carpal Fractures - History |
History of Fall Type of sport Swelling (radial aspect) Pain in Anatomical Snuff Box |
|
|
Carpal Fractures - Exam |
Swelling (radial aspect) Pain - Anatomical snuffbox Compression Test Diagnostic Imaging Easy to remember SSS = Scaphoid,swelling,snuffbox(pain) |
|
|
Morphology, function and pathology |
Scaphoid, hamate, others Outstretched hand, sport (hamate) Scaphoid Fracture Middle 1/3 Most Common Vascularisation Scaphoid + Forearm FX Complications |
|
|
Carpal Fractures - Treatment |
Immobilise Unstable - Open Reduction Be aware of NON UNION Healing Treatment Rehab |
|
|
Fractures of finger and thumb Morphology, Function & Pathology |
Loss of Function Rotational Deformity Adjacent Injury of fracture & Dislocation Types - Metacarpal = MC Shaft, boxers, fights Phalangeal = Dist>Proximal>Middle Be aware of open wound! |
|
|
Carpal Fractures - History |
Trauma Ddx Sprain/Strain Observation of Deformity Swelling Pain |
|
|
Carpal Fractures - Exam |
Observe deformity Swell/Pain Passive Wrist flexion --> Rotation Diagnostic Imaging |
|
|
Carpal Fractures - Treatment |
Immobilise with ROM - Early Surgery Healing Treatment Rehab |
|
|
Kienbock's Disease? |
Avascular Necrosis of LUNATE Vascular Vulnerability More so in Males 20-50yo's SHORT ULNA Complications Reabsorption-->Deposition-->Collapse |
|
|
Kienbock's Disease - History |
Acute.chronic TRAUMA Occupation Pain Dysfunction Limited ROM |
|
|
Kienbock's Disease - Exam |
Palpate Pain Limited ROM Weak grip D/T Pain Finsteres Sign Neurological Diagnostic Imaging |
|
|
Kienbock's Disease - Treatment |
Adjustment of Wrist - CONTRAINDICATED Referral!! Immobilise Awareness of Instability |
