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43 Cards in this Set

  • Front
  • Back

Quadrigia

Unable to flex adequately digits adjacent to digit with flexion contracture

Egawas sign

unable to deviate middle finger laterally due to ulnar nerve impairment

Linburgs sign

Anatomic interconnection between FPL and FDP of IF

Lumbrical plus phenomenon

Pt attempts to contract profundus but instead the lumbrical is pulled proximally resulting in PIPJ and DIPJ extension

What structures form the anatomical snuffbox

Scaphoid at the base, APL and EPB form the radial border and the EPL forms the ulnar border

What structures are inside the carpal tunnel

FPL FDS FDP Median Nerve

Tendons in 1st dorsal compartment 1

221211


APL, EPB

Tendons in dorsal compartment 2

221211


ECRL, ECRB

Tendons in dorsal compartment 3

221211


EPL

Tendons in dorsal compartment 4

221211


ED, EIP

Tendons in dorsal compartment 5

221211


EDM

Tendons in dorsal compartment 6

221211


ECU

Which muscle is the most efficient extensor of the wrist

ECRB

Which pulley is most common in trigger finger

A1

Which carpal bones attach to transverse carpal ligament

hamate, pisiform, trapezium, scaphoid

Martin Gruber anastomesis

Where the AIN nerve(median nerve)communicating with ulnar nerve to innervate the intrinsics

Riches Cannieu anastomesis

communication between deep ulnar nerve brach to median thenar branch resulting in innervation of the thenar muscles

Mainacci anastomesis

communication between communication between ulnar and median nerve in forearm can be considered a reverse martin gruber

Berritini anastomesis

Communication between the ulnar 4th common digital nerve and the median 3rd common digital nerve

How many annular pulleys are there and their location



5


A1 MCPJ


A2 proximal phalanx


A3 PIPJ


A4 middle phalanx


A5 DIPJ




Note odd numbers are at joints





How many cruciate pulleys and theie location

3




C1


C2


C3

What are the critical pulleys for normal flexor tendon gliding

A2


A4

Describe the TFCC

Consists of a meniscal disc, ECU sub sheath, UCL, and DRUJ ligaments

What is the major arterial supply of the arm

Brachial artery

Cleland and graysons ligaments perform what function

hold skin to finger preventing rotary movements

What is keinbocks disease

disruption of nutrients to lunate gets progressive necroses and collapes most common procedure is a proximal row carpectomy

4 compression sites for median nerve

ligamant of struthers


bicipital aponeurosis


pronator teres


FDS arch

Arcade of struthers compresses which nerve

ulnar



ligament of struthers compresses what nerve

median

Space of Poirer





weakness from an absence of ligamentous support of the lunate/capitate articulation

Another name for Lacertus fribrosus

bicipital aponeurosis

Arcade of froshe impinges which nerve

PIN; AKA radial tunnel syndrome

What 2 structures from the roof of the cubital tunnel

fascia of FCU, ligament of Osborne

Which thumb pulley is critical to normal IP function

Oblique pulley located in middle portion of proximal phalanx

What are the sagittal bands and what finger function do they perform

The cenrtalize the common extensor tendons over the MCP nad extend the MCPL

Which muscle is active during all wrist motions

ECU

The ORL is sometimes called the

landsmeers ligament

During allens test what length of time is considered delayed

7 seconds

Secretans syndrome

edematous process over MCPJ

How long does it take for entire nail plate to grow back

.5-2 mm per week usually 5.5 months

Rupture of the transervse retinacular ligament of the PIP results in

swan neck deformity

A pseudoboutonniere deformity is characterized as

proximal avulsion of the volar plate with secondary formation of a PIPJ contracture

Saddle syndrome

painful condition where the interosseus lumbrical adhesions are impinging on the deep transverse metacarpal ligaments during intrinsic contracture