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CHT Exam - Fractures of the Wrist and Forearm- Qs & As
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CHT Exam - Fractures of the Wrist and Forearm- Qs & As
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CHT Exam - Fractures of the Wrist and Forearm- Qs & AsPost op care for external fixation of DR# weeks 8-12 Correct Ans-PROM/mobs
Progressive/dynamic orthosis
Strengthening
Continuous passive motion
Complications of external fixation Correct Ans-EIP/EPL irritated by external fixator
Tight extensors
Pin infection
Sensory irritation
DR # ORIF post op rehab Correct Ans-- Weeks 1-2: Scar, edema, orthosis, gentle AROM
wrist/forearm, AROM uninvolved
- Weeks 3-4: gentle PROM once fracture healed, scar management
- Weeks 5-8: wean from orthosis, progress AROM/PROM
- Weeks 9-12: strengthening, static progressive orthosis if needed
DR# ORIF complications Correct Ans-scar adhesions, FPL/FDP tendon rupture, infection
Post Op care for Darrach procedure Correct Ans-- Weeks 1-3: long arm orthosis in neutral
and elbow 90, shoulder AROM, edema mgmt, scar mgmt
- Weeks 2-4: wrist and elbow AROM, rotation with approval from GP/surgeon
, CHT Exam - Fractures of the Wrist and Forearm- Qs & As
- Weeks 6-8: putty, gentle wrist strengthening, wean orthosis
Post-Op care for Sauve-Kapandji procedure Correct Ans-- Up to 3 weeks post op: Muenster,
shoulder mobility
- Weeks 4-6: Elbow/wrist AROM, rotation with approval, protective orthosis
- Up to 12 weeks: PROM wrist/forearm, putty, strengthening AT
Post-op care for distal ulnar arthroplasty Correct Ans-- Day 2: sugar-tong with forearm mid
supination, shoulder mobility
- Weeks 4-5: remove orthosis for exercise, elbow/wrist AROM and rotation with approval
- Weeks 8+: gentle strength (1 lbs), putty, wean orthosis
Post-op care for hemi-resection interposition athroplasty Correct Ans-- Weeks 2-3: wrist
orthosis off only for exercise, AROM/PROM wrist and forearm
- Weeks 6-8: gentle putty and forearm strengthening (1 lbs)
- Weeks 10-12: d/c splint
Post op care for ulnar shortening osteotomy Correct Ans-- Weeks 1-3: avoid rotation, splint
full time
- Weeks 3-6: remove splint for exercises, normal use of wrist by week 6
- Assess for TFCC pathology
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