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21 Cards in this Set
- Front
- Back
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When in the functional position that thumb is in what position (give degrees)
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45 degrees of Palmar Abduction
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What degree of flexion are the MCPs at in the functional Position
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35-45 degrees
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What angle is the wrist at for an Intrinsic Plus position
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30-40 extension
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What is the position of the MCPs when in the intrinsic plus position
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70-90 degress flexion and PIP/DIP are in full extension
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Reasons for a Resting Hand Splint
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Immobilize Wrist, fingers and thumb
Position hand in functional alignment Retard Deformity progression Decrease tone/ spasticity |
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What is Dupuytren's Disease
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Genetic Disorder
Involves Palmar Aponeurosis and tissue beneath palm |
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What does Dupuytren's Result in
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thickening, cord-like formation
Contractile bands Looks like finger contractures |
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How would you splint for Dupuytren's?
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RHS-post op
No thumb trough Wrist at Neurtral MCP, DIP, PIP full extension |
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What surgery technique is commonly used to repair Dupuytren's Disease
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Z plasty technique
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Complex Regional Pain syndrome is also known as
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Reflex Sympathetic Dystrophy
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Symtoms of CRPS/ RSD
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Slight mottling of the hand
Unexplained Pain Pain with arm motion Edema Sweating |
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What is the Emergent Phase for Burns
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48-72 hours post burn
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How would you treat a burn in the emergent
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Static Orthoses in intrinsic +
Sometimes a prefrab might be the quickest and least painful |
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What kind of straping do you use with burn pts?
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Guaze
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When is the acute phase in burns
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After emergent phase until healed
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Partial Thickness Burns
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Blisters
Weeping/moist Red or White VERY painful Sensitive to Temp |
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Superfiscial burn healing phase
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7-21 days
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Deep burn healing phase
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21-35 days=may develop hypertrophic scarring
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Hypertrophic scar
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Raisedl scar but does not spread to surrounding tissues (stays within boundaries)
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How to you position for Arthritis
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Functional position (10 extension, thumb in palmar abd, MCP 35-45 slight flex
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If an individual with arthritis complains that their splint in palmar abduciton is too painful, what would you do
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move the thumb to a more radially abducted position
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