Occupational Therapy
Terms
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- What hand disorder causes the fascia to become thick and contracted, resulting in flexion deformities of the involved digits?
- Dupytren's Disease
- What hand injury involves a rupture of the ulnar collateral ligament of the MCP joint of the thumb?
- Skier's Thumb (Gamekeeper's Thumb)
- What Upper Extremity Disorder would Stress Loading (wt. bearing and jt. distraction activities, including scrubbing and carrying activities) be an appropriate intervention for?
- Complex Regional Pain Syndrome (CRPS)
- What is a fracture of the distal radius with dorsal displacement called?
- Colle's fracture
- What is a fracture of the distal radius with volar displacement called?
- Smith's fracture
-
What disorder is also known as repetitive strain injuries (RSI), overuse syndrome, and/or muskuloskeletal disorders?
Examples include: DeQuervains, Lateral/Medial Epicondylitis, Trigger Finger - Cumulative Trauma Disorder
- What hand disorder is caused by stenosing tenosynovitis of the abductor pollicis longus adn the extensor pollicis brevis?
- DeQuervains
- Overuse of the wrist extensors, especially the extensor carpi brevis would cause what hand disorder?
- Lateral Epicondylitis or Tennis Elbow
- A Positive Finkelsteins' Test, a Thumb Spica splint (IP jt. free), gentle AROM, and unrestricted activity all correlate with what hand disorder?
- DeQuervains
- Overuse of wrist flexors causes what hand disorder?
- Medial Epiconsylitis or Golfer's Elbow
- What hand disorder is common with the repetition and use of tools that are placed too far apart?
- Trigger finger
- A pt. complains of numbness and tingling of the thumb, index, middle, and radial half of the ring fingers, as well as complaints of constantly dropping things and paresthesias at night time--what hand disorder does this person likely have?
- CTS--carpal tunnel syndrom
-
A person has weakness of the extensors to the wrist, MCPS and thumb along with wrist drop...what hand disorder does this person likely have?
Hint: AKA "Saturday night palsy" - Radial Nerve palsy
- CTS would have a Positive ____ sign at the wrist and a Postive _____ sign
- Tinel's; Phalen's
- An injury of the distal median nerve which flattens the thenar eminence is known as?
- "Ape Hand"
- A person has suffered ulnar nerve laceration. He will present with a _____ hand.
- Claw
- What is the assessment of thumb adductor while laterally pinching paper?
- Froment's sign
- An inability to extend digits to realease objects, difficulty manipulating objects and wrist drop would all be characteristics of what type of peripheral nerve injury?
- Radial nerve laceration
- What UE injury would a therapist avoid above shoulder level activities?
- Rotator Cuff Tendonitis
- What UE injury is known as frozen shoulder and is linked to DM and Parkinson's disease?
- Adhesive Capsulitis
- What type of arthritis affects small joints of the hands and is systemic?
- Rheumatoid arthritis
- What type of arthritis affects large weight bearing joints and is not systemic?
- Osteoarthritis
- When would silver ring splints be used?
- to prevent boutonnier and swan neck deformities with arthritic patients
- A person recently had a hip fx. How would the type of ambulation device be determined?
- by the person's wt. bearing status
- When wrapping the stump of an amputated limb, what 2 things should you remember?
-
wrap distal to proximal
tension should decrease with proximal wrapping - To prevent deformity following a burn injury, how should the shoulder be placed?
- Shoulder ABduction 90 degrees and external rotation (airplane splint)
- When should compression garments be applied and for how often following a burn
- applied when wounds are heald; wear 24 hours for 1-2 years until scar is matured
- What injury would require a person to transfer sit to stand with his hip in slight abduction and extended out in front?
- Total Hip Replacement/Total Hip Arthroplasty
- An ulnar nerve compression at the wrist causing numbness and tingling in the ulnar nerve distribution of the hand and a positive Tinel's sign is known as what peripheral nerve injury?
- Guyon's Canal
- An ulnar nerve compression at the elbow causing numbness and tingling along the ulnar aspect of the forearm and hand and a positive Tinel's sign as the elbow is known as what peripheral nerve injury?
- Cubital tunnel syndrome