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25 Cards in this Set
- Front
- Back
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Raynaud's Phenomenon humanistic morphology? |
Emotional/stress trigger Primary type: Female 5:1 >30 years (13-40) 5-10% of population secondary type: >50 years - |
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Raynaud's Phenomenon Function/Pathology? |
Cold induced reflex digital vasoconstriction & ischaemia Triggers = cold stress Pallor> Cyanosis>vasodilation Primary: ANS problem by shunt of blood to core Secondary: collagen vascular dieases's (SLE, scleroderma) conditions which set it off |
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Raynaud's Phenomenon Assessment? |
History: Slight provacation Cold > numb/pain/paraesthesias >warmth throbbing 20-30 min primary = grandual or secondary (SLE, scleroderma) pallor>cyanotic>red Cold; perspiration Exam = normal unless during episdoe |
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Raynaud's Phenomenon Treatment? |
Beware of frostbite Ensure proper function - adjust? STT to nerve tunnels Warmth during attack Eliminate Nicotine, warm cloths & gloves biofeedback & circ conditioning stress reduction nutrition medications - calcium channel blockers |
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Carpal sprain/strain, push-pull? |
Push-pull injury = Grade 1; less common grade 2 - compression or traction combined - musculotedious injury/compensation |
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Carpal sprain/strain, FOOSH? |
FOOSH - an injury/tear of (scapho-lunate) SL-injury will likely cause dorsal radial wrist pain + swelling. two useful signs for a suspected SL ligament injury are palpation just distal to Lister's tubercle on dorsal radius (sharp pain) & scaphoid shift test (check no involved side for ligament laxity) |
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Carpal sprain/strain, FOOSH+rotation -TFCC injury? |
Palpate between ulnar styloid and triquetrum; ulanr deviation and extension/radial deviation and flexion; supination lift test. |
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Carpal sprain/strain History? |
Mol exact area of pain, static/in motion ADL's affected prev injury, post trauma instability fall on hand in hyperextension |
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Carpal sprain/strain Assessment? |
Examination: - Palpation - ROM -Muscle tests - ortho tests - especially stability - nuero tests - kinetic chain U/S, MRI, X-ray |
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Carpal sprain/strain Morph-function-pathology? |
Rare Perilunate is most common lunate is most common single posterior for most carpals, lunate = Anterior median nerve involvement |
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Carpal sprain/strain Treatment? |
Post trauma care Goal =Stability, & alignment. normal ROM + strength STT Brace P/T & nutrition, exercise Relative rest |
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Dislocation of fingers and thumb Morph-function-pathology? |
Ligaments and support structures 1st MCP common, 5th IP joints Dorsal/Lateral dislocations Beware of fractures Persistant instability, subluxations Neuro/ vascular damage |
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Dislocation of fingers and thumb Assessment? |
History: Sport, job deformity post trauma instability Exam: Obervation (length) Motion Palp/ortho tests Neuro & vascular changes Diagnostic imaging |
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Dislocation of fingers and thumb Treatment? |
Reduction Immobilisation - flexion splint > buddy tape Motion exercise P/T = Anti inflam, healing Nutrition = Anti inflam, healing mobilisation X friction Referral |
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Wrist fractures Morph-function-pathology? |
Common 50+; osteoporosis outstretched hand Several combinations: colles, smith, monteggia, galeaszzi Neurovascular complications Carpal complications |
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Dislocation of Wrist Treatment? |
Finger ROM in cast; upper extrem ROM Nutrition A-C magnetic therapy Spinal adjustments Rehabilitation program Adjust Referral - immobilisation STT Progressive exercise |
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Carpal fractures Morph-Function-paathology? |
Scaphoid, hamate, others FOOSH, Sport (hamate) Classification of scaphoid fracture Middle 1/3 most common Vascularisation Scaphoid+forearm FX Complications |
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Carpal fractures Assessment? |
History: Fall Sport Swelling =radial aspect pain, anatomical snuffbox Examination: Swelling =radial aspect pain, anatomical snuffbox Compression test Diagnostic images |
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Carpal fractures Treatment ? |
-immobilise -unstable-open reduction -be aware of non-union -healing treatment -rehab |
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Finger and Thumb fractures Morph-function-pathology? |
Functional loss Rotational deformity adjacent injury of fracture and dislocation Types: -metacarpal: Bennett, MC shaft, Boxers, Bar Room. Phalangeal: Distal> proximal>middle Be aware of open wound |
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Finger and Thumb fractures Assessment? |
History: Trauma DDx sprain/strain deformity swelling, pain Examination: Deformity swelling,pain passive wrist flexion > rotation Dx imaging |
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Finger and Thumb fractures Treatment? |
Immobilisation with early ROM Surgery Healing treatment Rehab |
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Kenbocks Disease morph - function - pathology? |
avascular necrosis - lunate Males 9:1; 20-40 years Short ulna - 75% Vascular vulnerability complications Resorption > deposition > fragmentation>collapse |
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Kenbocks Disease Assessment? |
History: acute/chronic trauma occupation pain & dysfunction limited ROM Examination: Pain on Palpation limited ROM weak grip D/T pain finsterers's sign Neuro Dx imaging |
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Kenbocks Disease Treatment? |
Adjustment of wrist CONTRAINDICATED Referral Immobilisation Be aware of instability |
