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23 Cards in this Set
- Front
- Back
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AKA:
i. Stenosing Tenosynovitis ii. Washerwoman's Splain iii. Radial Styloid Tenosynovitis iv. Mother's Wrist |
DeQuervain's Disease
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Often in Pregnancy
1. Inflammation OLA Tendinosis of the sheath or tunnel that surrounds two tendons that control the thumb movement |
i. Extensor Pollicus Brevis
ii. Abductor Pollicus Longus |
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2. Pain at the base of thumb
3. Thickening/Degeneration |
DeQuervain's Disease
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1/2" above Radial Head or Distal of Styloid process
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Finkelstein's
1/2" above Radial Head or Distal of Styloid process |
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1) Hand
8 carpals Proximal |
Scaphoid
Lunate Triquetrum Pisiform |
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Distal
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Trapezium
Trapezoid Capitate Hamate |
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More than five fingers or toes
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2) Polydactyly
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More than five metacarpal bones
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3) Catel – Manzke
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Hand has
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27 bones
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History of Trauma
Pain Swelling Echymosis Weakness Decreased ROM |
4) Fracture
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Most common compression neuropathy
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6) Carpal Tunnel Syndrome
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Median nerve
Pain, weakness, paresthesias (numbness and tingling) 2 point discrimination Can refer into shoulder, CS, elbow |
6) Carpal Tunnel Syndrome
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Volar
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Anterior = Volar = Palmar
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6) Carpal Tunnel Syndrome
Anterior = |
1) Osseous Fibrous Tunnel,
2) Transverse Ligament |
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6) Carpal Tunnel Syndrome
Posterior = |
Carpals
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Pain 1st 3 and lateral part of 4th finger
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6) Carpal Tunnel Syndrome
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6) Carpal Tunnel Syndrome
Most common reason = |
Trauma
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6) Carpal Tunnel Syndrome
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Rule out:
RA Gout Granulomatous |
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-median nerve entrapment through 2 heads
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Pronator Teres Syndrome
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6) Carpal Tunnel Syndrome
7) Ortho's |
a. Phalen's
b. Reverse Phalen's c. Tinel's i. Compression Neuropathy ii. Not Carpal Tunnel |
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6) Carpal Tunnel Syndrome
8) Sensory |
a. 2 point discrimination
b. Muscle weakness |
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6) Carpal Tunnel Syndrome
9) Treatment Plan |
a. Activity Modification
b. Aqueous ultrasound (pain) |
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6) Carpal Tunnel Syndrome
10) Soft Tissue |
a. Adhesion -
i. Intracell ii. Cross Friction Massage |
