Wrist Examination

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  1. What are the most common MOI for wrist injuries
    • FOOSH
    • direct trauma
  2. What should be looked for in wrist injuries
    • Jewellery - remove
    • Symmetry
    • Position wrist is held in
    • Point of maximal swelling
    • Colour
    • Bruising
    • Deformity
  3. What should be felt for in wrist injuries
    • Tenderness
    • Warmth
    • Crepitus
    • Pulses
    • Sensation
  4. What is the sensory function of the ulnar nerve
    Dorsum and palm of little finger and ulnar border of the ring finger
  5. What is the sensory function of the median nerve
    • Palmar aspect of thumb, index and radial border of ring finger
    • Dorsal aspect of distal phalanx thumb, index and radial border of the ring finger
  6. What is the sensory function of the radial nerve
    Dorsal aspect - first web space
  7. What is the motor function of the ulnar nerve
    • Abduction - fanning
    • Crossing fingers
    • Adduction of the thumb
  8. What is the median nerve motor function
    • Abduction of the thumb
    • Opposition of the thumb
  9. What is the radial nerve motor function
    Dorsiflexion against resistance
  10. What is kumars 3 nerve test
    • 'ok'
    • Dorsiflexion
    • Fanning
    • Opposition
  11. What is the range of movement of the wrist
    • Pronation
    • Supination
    • Palmerflexion
    • Dorsiflexion
    • Ulnar deviation
    • Radial deviation
  12. How is circulation at the wrist assessed
    • Radial pulse
    • Ulnar pulse
    • CRT
  13. What are the anatomical landmarks of the wrist
    • Distal radius
    • Distal ulnar
    • Carpal bones
    • Scaphoid tubercle
    • ASB
    • Axial compression
  14. What are the carpal bones
    • Scaphoid
    • Lunate
    • Triquetrum
    • Pisiform
    • Trapezium
    • Trapezoid
    • Capitate
    • Hamate
  15. How is the scaphoid assessed
    • 3 point tenderness
    • ASB
    • scaphoid tubercle
    • Axail compression
  16. Where is the ASB
    • First dorsal space
    • Between the APL (radially)
    • EPB (middle tendon)
  17. What is the proximal row of carpal bones
    • Scaphoid
    • Lunate
    • Triquetrum
    • Pisiform
  18. What is the distal row of carpal bones
    • Trapezium
    • Trapezoid
    • Capitate
    • Hamate
  19. On xray how should the carpal bones line up
    • Radius, lunate and capitate in a straight line and parallel
    • Capitate in lunate
    • Lunate in radius
  20. Which carpal bone is most likely to dislocate
  21. Which carpal bone is most commonly injured
    The scaphoid
  22. What is the MOI of scaphoid fractures
  23. What may occur following a fracture through the waist of scaphoid
    • Blood supply cut off to the proximal end
    • Can cause avascular necrosis
    • Long term hand disability
  24. With wrist injuries why must the joints above be examined
    FOOSH transmits forces up the entire limb
  25. Where should examination of the wrist begin

Card Set Information

Wrist Examination
2012-01-29 17:49:17

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