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Distal Radius, Metacarpal & Proximal Phalanx Fractures

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1.  Edema, pain, and tenderness are expected to decrease during what phase of fracture healing? Inflammatory phase Remodeling phase Reparative phase Acute phase

2.  Which of the following is true regarding fracture healing? Complete stability must precede mobility Mobility can be prioritized over stability Function is not affected by mobility A careful balance of mobility and stability will lead to optimal function

3.  The close-packed position of the glenohumeral joint is: The opposite of being in a sling Abduction with external rotation Adduction with internal rotation a and b

4.  The cast or splint for a patient with a distal radius fracture should: Include the thumb Not extend past the distal palmar crease Block MP flexion Not allow digital motion

5.  According to Valdes (2009), the number of days to return to functional range of motion decreased significantly when: Patients started therapy at 1 week post-op Patients started therapy at 3 weeks post-op Patients started therapy at 6 weeks post-op Patients started therapy at 8 weeks post-op

6.  Which of the following is correct regarding metacarpal fractures? Metacarpal head fractures should be immobilized in an ulnar gutter splint Metacarpal neck fractures can be immobilized in a hand-based cuff splint Patients with metacarpal fractures should avoid sustained grasp during healing All of the above

7.  Which of the following exercises facilitates extrinsic extensor gliding across a metacarpal fracture? Composite flexion and extension of the digits Progression from composite flexion to a hook fist Extension of digits off a flat surface Isolated MP flexion and extension

8.  Which tendon lies closest in proximity to a proximal phalanx fracture? Flexor digitorum superficialis Extensor digitorum Flexor digitorum profundus All these tendons lie equidistant from the proximal phalanx

9.  Immediate mobilization of which joint is safe and maximally effective following a proximal phalanx fracture? MP PIP DIP All of the above

10.  What are the benefits of early controlled motion after fracture? Edema reduction Tendon glide across fracture site Increased stability and rate of healing All of the above