Hand and Wrist Pathologies: Management & Examination (2025)

What percentage of distal radial fractures are intra-articular?

  • Approximately 50% (correct)
  • More than 75%
  • Less than 25%
  • Less than 10%

Which type of distal radial fracture is classically described as a 'Dinner Fork' deformity?

  • Colle's fracture (correct)
  • Smith's fracture
  • Chauffeur's fracture
  • Barton's fracture

A high-energy mechanism, such as a fall from height or motor vehicle accident, is more commonly associated with distal radial fractures in which age group?

  • Infants
  • Younger individuals (correct)
  • Older individuals
  • Middle-aged adults

Which factor is considered a risk factor for distal radial fractures?

<p>Early menopause (C)</p>

Signup and view all the answers

Median nerve symptoms like numbness are common in the presentation of distal radial fractures due to:

<p>Compression within the carpal tunnel (A)</p>

Signup and view all the answers

Which distal radial fracture is also known as a Reverse Colle's fracture?

<p>Volar angulation (C)</p>

Signup and view all the answers

Smith's fractures typically occur due to a fall onto an outstretched hand (FOOSH) with the forearm fixed in which position?

<p>Supination (C)</p>

Signup and view all the answers

Surgical treatment for a distal radial fracture is indicated in cases of intra-articular displacement greater than:

<p>2 mm (B)</p>

Signup and view all the answers

Which complication is listed as potentially following a distal radial fracture?

<p>Complex regional pain syndrome (CRPS) (A)</p>

Signup and view all the answers

What is the typical angle of volar tilt in a normal wrist, relative to the neutral position?

<p>$11^{ext{°}}$ (B)</p>

Signup and view all the answers

Which carpal bone forms the floor of the anatomical snuffbox and is frequently fractured?

<p>Scaphoid (B)</p>

Signup and view all the answers

If a patient presents with clinical suspicion of a scaphoid fracture but initial X-rays are negative, what is the recommended next step in management?

<p>Treat clinically for fracture and repeat X-rays in 2 weeks. (C)</p>

Signup and view all the answers

Fractures in which region of the scaphoid bone carry a higher risk of avascular necrosis (AVN)?

<p>Proximal pole (C)</p>

Signup and view all the answers

Which complication is specifically noted as a potential issue following scaphoid fracture?

<p>Scapholunate disruption with associated wrist collapse (D)</p>

Signup and view all the answers

Carpal tunnel syndrome is the most common compressive neuropathy affecting which limb?

<p>Upper limb (D)</p>

Signup and view all the answers

Which nerve is primarily compressed in carpal tunnel syndrome?

<p>Median nerve (D)</p>

Signup and view all the answers

Which group of individuals is stated to be more commonly affected by carpal tunnel syndrome?

<p>Women (A)</p>

Signup and view all the answers

Symptoms of carpal tunnel syndrome are often reported to be worse during which time of day?

<p>Night (A)</p>

Signup and view all the answers

Moving or shaking the hands is noted to potentially help alleviate which condition's symptoms?

<p>Carpal tunnel syndrome (B)</p>

Signup and view all the answers

Wasting of the thenar eminence muscles is a sign of carpal tunnel syndrome that typically occurs in what stage?

<p>Late stage (D)</p>

Signup and view all the answers

Sensory deficit in the median nerve distribution is a symptom of carpal tunnel syndrome affecting which area?

<p>Thumb, index finger, middle finger, and half of the ring finger (B)</p>

Signup and view all the answers

Which clinical test involves tapping directly over the median nerve at the wrist to elicit tingling or pain?

<p>Tinel's test (A)</p>

Signup and view all the answers

Phalen's test, used in the clinical examination for carpal tunnel syndrome, involves:

<p>Passive wrist flexion (C)</p>

Signup and view all the answers

Which diagnostic test is listed for confirming the diagnosis of carpal tunnel syndrome?

<p>Electromyography (EMG) studies (C)</p>

Signup and view all the answers

Conservative treatment for carpal tunnel syndrome includes:

<p>Night-time splinting (B)</p>

Signup and view all the answers

Surgical decompression for carpal tunnel syndrome is recommended if symptoms persist for longer than:

<p>6 months (D)</p>

Signup and view all the answers

Rheumatoid arthritis (RA) is described as primarily affecting which joints in the hand?

<p>Proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joints (C)</p>

Signup and view all the answers

Which serological marker is often associated with the aetiology of Rheumatoid Arthritis?

<p>HLA DR4 (D)</p>

Signup and view all the answers

Which task testing fine motor skills is mentioned as part of an examination assessing the impact of Rheumatoid Arthritis on Activities of Daily Living (ADLs)?

<p>Fastening a button on a shirt (C)</p>

Signup and view all the answers

In Rheumatoid Arthritis of the elbow, X-rays may show gradual destruction of the radial head and widening of which anatomical feature?

<p>Trochlear notch of the ulna (C)</p>

Signup and view all the answers

Conservative medical treatment for Rheumatoid Arthritis may include which class of medications?

<p>Biologics like Infliximab (C)</p>

Signup and view all the answers

Which hand deformity in Rheumatoid Arthritis is characterized by hyperextension at the proximal interphalangeal (PIP) joint and flexion at the distal interphalangeal (DIP) joint?

<p>Swan Neck deformity (C)</p>

Signup and view all the answers

A Boutonniere's deformity is characterized by flexion at the PIP joint and extension at the DIP joint. This is often caused by disruption of which tendon structure?

<p>Extensor Digitorum Communis central slip (D)</p>

Signup and view all the answers

Plain film X-rays in Rheumatoid Arthritis may show which finding?

<p>Marginal erosions (D)</p>

Signup and view all the answers

Kienbock's disease is defined as avascular necrosis of which carpal bone?

<p>Lunate (B)</p>

Signup and view all the answers

De Quervain's tenosynovitis involves inflammation of the tendon sheaths of which muscles?

<p>Extensor Pollicis Brevis and Abductor Pollicis Longus (D)</p>

Signup and view all the answers

Trigger finger typically involves the impaired movement or 'triggering' of which type of tendon?

<p>Flexor tendon (B)</p>

Signup and view all the answers

Dupuytren's contracture is characterized by a progressive contracture of which tissue in the hand?

<p>Palmar fascia (A)</p>

Signup and view all the answers

To assess the motor function of the Radial nerve, which action is typically tested in the hand?

<p>Extending the wrist and fingers at the knuckle joint (D)</p>

Signup and view all the answers

To assess the sensory function of the Ulnar nerve in the hand, which specific area would you palpate?

<p>Between the little finger and distal ring finger on the palmar and dorsal surface (B)</p>

Signup and view all the answers

Hand and Wrist Pathologies: Management &amp; Examination (2025)
Top Articles
Latest Posts
Recommended Articles
Article information

Author: Moshe Kshlerin

Last Updated:

Views: 5512

Rating: 4.7 / 5 (77 voted)

Reviews: 84% of readers found this page helpful

Author information

Name: Moshe Kshlerin

Birthday: 1994-01-25

Address: Suite 609 315 Lupita Unions, Ronnieburgh, MI 62697

Phone: +2424755286529

Job: District Education Designer

Hobby: Yoga, Gunsmithing, Singing, 3D printing, Nordic skating, Soapmaking, Juggling

Introduction: My name is Moshe Kshlerin, I am a gleaming, attractive, outstanding, pleasant, delightful, outstanding, famous person who loves writing and wants to share my knowledge and understanding with you.