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27 Cards in this Set
- Front
- Back
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What is something to watch for specifically in hand injuries?
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Trauma
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What should be done with all dislocations located in the hand?
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X-Ray
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What should you make sure to check and document in hand trauma?
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Tendon Function
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What is one of the most important things to be aware of in a hand injury?
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The Scaphoid
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SKIERS THUMB
GAMEKEEPERS THUMB THIS IS THE STABILIZER OF THE MP OF THUMB COMMON SKI POLE INJURY |
Ulnar Collateral Ligament Tear
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What do you look for in the exam of someone with Ulnar Collateral Ligament Tear (Skier's Thumb)
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HISTORY OF FALL WITH POLE
MAY HAVE EFFUSION, ECCHYMOSIS, STRESS OF UCL CREATES PAIN |
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What are the treatment options for a Ulnar Collateral Ligament Tear?
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COMPLETE TEARS SURGICAL REPAIR
PARTIAL TEARS THUMB SPICA CAST/SPLINT X 3 WEEKS |
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HISTORY OF PAIN OR PARESTHESIA OF THE
MEDIAN NERVE DISTRIBUTION NOCTURNAL PARESTHESIAS IS DIAGNOSTIC HISTORY OF REPETITIVE MOTION HISTORY OF PRENANCY, HYPOTHYROID, OBESITY, DM |
Carpal Tunnel Syndrome
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If a patient wakes up with paresthesias in the thumb, index and middle finger it means?
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Carpal Tunnel Syndrome
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What is a major cause of Carpal Tunnel Syndrome?
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Use of Vibrating Tools
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What is involved in the carpal tunnel syndrome exam?
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OBSERVE FOR THENAR ATROPHY
POSITIVE PHALENS TEST POSITIVE TINELS TEST POSITIVE EMG STUDIES |
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What is the treatment for carpal tunnel syndrome?
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NIGHT SPLINTS
AVOID ABUSIVE PATTERN NSAIDS/STRETCHING CONTROVERSIAL INJECTION SURGICAL RELEASE |
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INFLAMMATION OF THE ABDUCTOR/
EXTENSOR TENDON OF THE THUMB HISTORY OF REPETITIVE GRIP PATIENT MAY FEEL OR HEAR CREPITUS COMPLAINTS OF HAND WEAKNESS |
DEQUERVAINS TENOSYNOVITIS
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PAIN AND PALPABLE CREPITIS WITH FLEXION
PAIN WITH PALPATION OF THE SNUFFBOX POSITIVE FINKELSTEINS TEST |
DEQUERVAINS EXAM
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What is the treatment for DEQUERVAINS TENOSYNOVITIS?
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RELATIVE REST IN THUMB SPICA SPLINT
AVOID ABUSIVE PATTERN - MOUSE THERAPY FOR IONTO/PHONOPHORESIS INJECTION SURGICAL RELEASE |
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NODULAR, HYPERTROPHIC DEGENERATION OF
THE PALMAR FASCIA HISTORY OF OVERUSE, BUT ETIOLOGY UNKNOWN CANT HOLD MY GOLF CLUB CAN CAUSE FLEXION CONTRACTURE AT THE MCP JOINT |
DUPUYTRENS CONTRACTURE
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What is the treatment for DUPUYTRENS CONTRACTURE?
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INJECTION MAY TEMPORARILIY HELP
SURGICAL EXCISION USUALLY REQUIRED REOCCURANCE COMMON |
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THICKENING OF THE TENDON SHEATH OVER
THE FLEXOR TENDON AT THE MCP JOINT A1 PULLEY STICKS CAUSING LOCK OF THE PIP JOINT PROGRESSIVE |
TRIGGER FINGER
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TRIGGER FINGER TX includes?
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INJECTION UNDER THE A1 PULLEY CAN BE
VERY SUCCESSFUL SURGICAL RELEASE |
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CYSTIC TUMOR OUTPOUCHING FROM THE
TENDON SHEATH FLUID CONSISTENT WITH CURRANT JELLY ETIOLOGY SPONTANEOUS |
Ganglion
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What is seen on exam with a ganglion?
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PALPABLE FLUID FILLED NODULE
WILL TRANSILLUMINATE USUALLY NON-TENDER MAYBE ANY SIZE |
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What is the TX for a ganglion?
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NOTHING/OBSERVATION
ASPIRATION WITH MULTIPLE PUNCTURE SURGICAL EXCISION |
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Acromioclavicular vs Glenohumeral
Etiology Fall on oustretched arm Direct blow |
Shoulder separation
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Anterior, inferior, posterior
GH joint is not intact ROM not possible Needs transport, xray, reduction |
Glenohumeral Dislocations
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What is the TX for a Acromial Clavicular shoulder joint separation?
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Sling, gentle range of motion, bump from deformity will remain after injury.
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Overuse injury pitching
Capsular stretching Impingement signs Impingement arc Pain at ROM extremes Negative drop arm test |
Rotator Cuff Strain
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What is the basic treatment for a rotator cuff strain?
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Avoid overuse activity
Physical therapy Urge continuation of Home Exercise Program. |
