Orthopedic Pathologies of the wrist/hand
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each of the black spaces below before clicking
on it to display the answer.
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| Smith's Fracture | Garden Spade fork deformity, Pain, Swelling, Pt tenderness, loss circulation
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| Carpal Tunnel Syndrome | tingling/numbness hand, P! radiating from wrist, weakness in hands, loss sensation
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| Cyclist's Palsy | sensory loss, weakness hand and thumb, numbness/tinling in hand, weak pinching
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| Bowler's Thumb | numbness, P, tingling in thumb, decreased strength in thumb
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| Colle's Fracture | P, swelling, loss ROM/function, snapping/crushing sound
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| Jersery Finger | severe P, loss of function, palpable tendon on supinated hand, visible hematoma, unable flex DIP against resistance
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| Des Quervian's Disease | increased P over tendons/radial styloid process, crepitus at thumb, Increased P w/ abd, gripping, flex of thumb (Finkelstein's)
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| Game Keeper Thumb | P, swelling, bruising, increased P w/ ROM, jt laxity w/ abd/ext
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| Boutonniere Deformity | P!/swelling over PIP jt, PIP flex DIP hyperext, unable to ext PIP
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| Phalanx Fracture | P, pt tenderness, loss ROM, deformity, swelling, crepitus
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| Paronychia | nail fold red/swollen, P w/ palpation, produce purulent matter
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| Scaphoid Fracture | swelling, pt tenderness at snuff box, neuro deficits, loss grip strength, FOOSH, loss ROM, stiffness, P weight bearing (pushups)
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| Ulnar Neuropathy | paresthesia ulnar nerve distribution, P small fingers, weak grip strength, P/pt tenderness ulnar of wrist, +tinnels, mm atrophy, unable to ext 5th
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| Radial Nerve Compression | P/paresthesia over dorsal-radial wrist/hand, P ulnar deviation, abnormal sensations, difficulty ext elbow, mm weakness/atrophy, wrist/finger drop
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| Ganglion Cyst | notable lump, tingling/loss ROM/burning if near nerve, dull P/ache, tenserness, swelling, weakness, loss ROM, growing/shrinking lump, movement painfull
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| Wrist Sprains | swelling, P at time injury, P with wrist movement, bruising/discoloration, tenderness at injury site, popping/tearing at wrist, warm temp,
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| Lunate Dislocation/Subluxation | localized tenderness, crepitus with movement, instability, decreased grip strength, median nerve symptoms, swelling, fingers in partial flex
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| Mallet Finger | MOI:extreme/rapid flexion of finger, avulsion ext tendon, bone pull off w/ tendon, drooping finger tip, P, swelling, redness, unable ext DIP
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| Bennette’s Fracture | thumb fracture, P at base thumb, rapid swelling, decrease ROM, complications maybe tramatic arthritis, visible deformity, may have circulation problems (coldness/numbness in thumb)
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| IP Dislocations | stiffness, P, loss ROM, edema, deformity, numbness involved digit, instability jt, increased P w/ valgus/varus/distraction
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| Subungal Hematoma | increased P w/ pressure, black/bruised nail, blood underneath nail, nail may fall off, possible broken toe/finger
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| Hamate Fracture | decreased grip strength, P over hamate/with grip/flex 4th and 5th/with dorsi-ulnar deviation, nerve problems if impingment, tendonitis of flex tendons, wrist weakness
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| Boxer’s Fracture | fracture 5th, swelling, tenderness, deformity, heard crack/pop, P, bruising, weak/numb hand, abnormal bone movement, possible cut due to punching a wall
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