PT 715 Hand and Wrist Overview -2026

Most common injury following a FOOSH

conservative treatment of fractures

more conservative treatment for fractures

Carpal Tunnel Syndrome following DRF (distal radial fracture)

2nd most common fracture after FOOSH injury - tell me about it

Metacarpal fractures (incidence rate; what are the two)

boxers fracture

Bennett fracture

L: boxer

R: bennett

most common site of OA in the hand: tell me about it

Pincher grip puts 8x the force through the CMC joint

Hard to treat: to strengthen it you also have to irritate it – so a lot of the times its more modification

1st CMC OA and Arthroplasty

No longer have the trapezium and is replaced with cushion

Tendinous Injuries: Mallet finger

Don’t just have to live with it; no surgical intervention but splinting allows it to heal back into place (you cannot bend the digit AT ALL for 6-8 weeks) they can take it off for hygiene but he tells them to hold it with the other hand because if it starts to fall you will either get a lag or the healing that occurs will get pulled back apart

After this: you have to be gentle to get it to bend (if you force it it can rupture again)

Tendinous Injuries: Jersey finger

Tendinous Injuries: Boutonnière deformity

Can use figure 8 splint, surgery,

Tendinous Injuries: Swan Neck Deformity

Tendinous Injuries: trigger finger

Everytime you make it click it gets more irritates: don’t try to recreate the sound then you wont be able to use it

There is a night splint on amazon that you can use

Tendinous Injuries: tendon lacerations

Know that this exists: DO NOT MEMORIZE THIS (NOT EXAM MATERIAL)

If you have a pt that comes in that cut themselves, if your hand is in a certain position, it needs to be in the same position to examine it because the tendon moves easily

**ask if they had the doctor move the tendon in the full range or if it was in the same position as it was when the cut it because they may not be looking at the right thing

Tendinous Injuries: Spinting following surgical repair

Tendon gliding exercises

Good for carpal tunnel; RA/OA in 2^nd-5^th

^{Key with these is a flat hand is always the start and stop position}

^{DO EACH ONE THEN GO BACK TO THE FLAT HAND ****ALWAYS GO BACK TO 1}

^{Do 10x each}

Dupuytren Contracture

Surgery isn’t commonly done because they are likely to have a 30* scarring after the surgery and have a contracture to 30*

Dupuytren Contracture: injections

Dupuytren Contracture: surgery

Collagenase can breakdown flexor tendon

Want to see them ASAP: don’t want scar tissues to reform or collage to bind again

If you don’t have 30 deg then most doctors wont touch you

TFCC injury (what is it, made up of, TFCC provides, Injury can be caused by)

TFCC: Buffer cartilage pad at end of ulna – complex involves ligamentous structures around it that supports the end of the ulna

Commonly from drilling and the bit gets caught and the hand twists

TFCC injury: splinting; surgery

Ulnar varience: its too long in relation to the radius

what is the most commonly injured ligament in the hand

Wrist sprain: scapholunate: MOI

Wrist sprain: scapholunate: signs and symptoms

Wrist sprain: scapholunate: imaging

Wrist sprain: scapholunate: treatment

special test for instability

SLAC wrist: what is it, what is a wedge

4 stages of SLAC wrist