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73 Cards in this Set
- Front
- Back
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How many carpal/metacarpals/phalanges are there?
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8/5/14
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What muscles acts as the "pulley" in the extensor system?
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extdigcomm inserts into digits 2-5
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What two tendons act as "pulleys" in the flexor system?
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flexdigprof and flexdigsup
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What is normal flexion in the MCP/PIP/DIP/ and Thumb MCP/IP
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90/90/90 and 50/90
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What is normal extension in the MCP/PIP/DIP and Thumb MCP/IP?
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30/0/0-10 and 0/20
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How many carpal/metacarpals/phalanges are there?
|
8/5/14
|
|
What muscles acts as the "pulley" in the extensor system?
|
extdigcomm inserts into digits 2-5
|
|
What two tendons act as "pulleys" in the flexor system?
|
flexdigprof and flexdigsup
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What is normal flexion in the MCP/PIP/DIP/ and Thumb MCP/IP
|
90/90/90 and 50/90
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What is normal extension in the MCP/PIP/DIP and Thumb MCP/IP?
|
30/0/0-10 and 0/20
|
|
How many carpal/metacarpals/phalanges are there?
|
8/5/14
|
|
What muscles acts as the "pulley" in the extensor system?
|
extdigcomm inserts into digits 2-5
|
|
What two tendons act as "pulleys" in the flexor system?
|
flexdigprof and flexdigsup
|
|
What is normal flexion in the MCP/PIP/DIP/ and Thumb MCP/IP
|
90/90/90 and 50/90
|
|
What is normal extension in the MCP/PIP/DIP and Thumb MCP/IP?
|
30/0/0-10 and 0/20
|
|
How many carpal/metacarpals/phalanges are there?
|
8/5/14
|
|
What muscles acts as the "pulley" in the extensor system?
|
extdigcomm inserts into digits 2-5
|
|
What two tendons act as "pulleys" in the flexor system?
|
flexdigprof and flexdigsup
|
|
What is normal flexion in the MCP/PIP/DIP/ and Thumb MCP/IP
|
90/90/90 and 50/90
|
|
What is normal extension in the MCP/PIP/DIP and Thumb MCP/IP?
|
30/0/0-10 and 0/20
|
|
How many carpal/metacarpals/phalanges are there?
|
8/5/14
|
|
What muscles acts as the "pulley" in the extensor system?
|
extdigcomm inserts into digits 2-5
|
|
What two tendons act as "pulleys" in the flexor system?
|
flexdigprof and flexdigsup
|
|
What is normal flexion in the MCP/PIP/DIP/ and Thumb MCP/IP
|
90/90/90 and 50/90
|
|
What is normal extension in the MCP/PIP/DIP and Thumb MCP/IP?
|
30/0/0-10 and 0/20
|
|
How many carpal/metacarpals/phalanges are there?
|
8/5/14
|
|
What muscles acts as the "pulley" in the extensor system?
|
extdigcomm inserts into digits 2-5
|
|
What two tendons act as "pulleys" in the flexor system?
|
flexdigprof and flexdigsup
|
|
What is normal flexion in the MCP/PIP/DIP/ and Thumb MCP/IP
|
90/90/90 and 50/90
|
|
What is normal extension in the MCP/PIP/DIP and Thumb MCP/IP?
|
30/0/0-10 and 0/20
|
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What is normal flexion ROM in the MCP/PIP/DID/Thumb MCP and IP?
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90/90/90 50/90
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What is normal extension ROM in MCP/PIP/DIP and Thumb MCP/IP?
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30/0/0-10 0/20
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What is normal abduction ROM of finger/thumb?
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20/70
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What is normal adduction ROM in finger/thumb?
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0/0
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Name 5 finger flexor muscles/nerves/C-level
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(Dig2/3)flexdigprof/antinter(med)C8T1
(Dig4/5)flexdigsup/med/C7T1 Lumbl12/med/C8T1 Lumb34/uln/C8T1 DorPalmInter/uln/C8T1 FlexDigMin/uln/C8T1 |
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Name 3 finger extensor muscles/nerves/C-level)
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Extdigcomm/postinter-rad/C78
Extindprop/postinter-rad/C78 Extdigmini/postinter-rad/C78 |
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Name 3 finger abduction muscles/nerves/C-level and mnemonic.
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Mnemonic DAB Dorsal interossei ABduct
4-Dorsalinterossei/uln/C8T1 Abddigmin/uln/C8T1 |
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Name 2 finger adduction muscles/nerves/C-level and mnemonic
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Mnemonic PAD Palmar interossei ADduct
3 palminterossei/uln/C8T1 |
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Name 4 thumb flexor muscles/nerves/C-level
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flexpollbrev-sup head/med;deep head rad/C8T1
flexpolllong/antinterr-med/C8T1 opponpoll/med/C8T1 adducpoll/uln/C8T1 |
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Name 3 thumb extensors muscles/nerves/C-level
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extpolllong/postinter-rad/C78
extpollbrev/postinter-rad/C78 Abdpolllong/postinter-radC78 |
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Name 2 thumb abductor muscles/nerves/C-level
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abdpolllong/postinter-rad/C78
abdpollbrev/med/C8T1 |
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Name 1 thumb adduction muslce/nerve/C-level
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adductpoll/uln/C8T1
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Name 4 thumb opposition to fifth digit muscles/nerves/C-level
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Opppoll/med/C8T1
flexpollbrev/superficial head-med/C8T1 abducpollbrev/med/C8T1 oppondigmini/uln/C8T1 |
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What is the pathology in Dupuytren's contracture/
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thickening of palmar fascia
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What are co-morbidities of Dupuytren's?
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DM, ETOH, Seizure. TB
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Where is Dupuytren's most common?
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flexion of MCP of 4th digit (ring finger)
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What is another name for stenosing tenosynovitis?
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trigger finger
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What are 3 co-morbidities of trigger finger?
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DM, RA, gout
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What are 2 primary txs for trigger finger?
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injection/splinting
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In what joints are the most common ligamentous injuries of the hand?
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PIP, MCP and thumb MCP
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What is the mech of injury in MCP/PIP ligamentous injury?
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varus or valgus stress to extended joint
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What ligament of the thumb is injured in gamekeeper's or skier's thumb?
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ulnar collateral ligament
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What is the mechanism of injury in skier's thumb?
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valgus stress of thumb MCP
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What is Jersey finger?
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flexor digitorum injury
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What is the mechanism of injury in Jersey finger?
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profundus tendon is avulsed when a player's finger gets caught in jersey of another player
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What digit is usually affected by Jersey finger?
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4th
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In Jersey finger what joint is unable to be actively flexed?
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DIP
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What is the treatment of flexor digitorum injury?
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surgery
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What is another name for baseball finger?
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mallet finger
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What is the mechanism of injury in mallet finger?
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passive flexion of DIP when finger is extended
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What is an indication for surgery in mallet finger?
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avulsed fragement invovles >1/3 of joint
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What type of splint is used for mallet finger?
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stack splint
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What is the treatment for thumb MCP ligamentous injury?
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thumb spica for 3-6 weeks
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What is the treatment of MCP or PIP finger ligamentous injuries?
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distal traction to stabilize joint then buddy splinting
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What is a Bennet's fracture?
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oblique fracture/subluxation at the base of the thumb metacarpal
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What is a Rolando's fracture?
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fracture at the base of the thumb metacarpal classified as a T, Y or comminuted configuration
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The proximal pull of what muscle may subluxate a metacarpal fragment in a Bennet's fracture?
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abductor pollicis longus
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What is the mechanism of injury in a fracture of the base of the thumb (Bennet's or Rolando's)?
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direct blow to a flexed thumb or digit
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What is a boxer's fracture?
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metacarpal neck or shaft fracture
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What is the treatment of a Bennet's or Rolando's fx?
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ortho referral
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What is the mechanism of injury in a boxer's fracture?
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striking wall or another person with poor technique
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What is the most common digit for a boxer's fracture?
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5th
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What is the treatment of a metacarpal neck or shaft fx?
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ortho consult
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