5- Hand Problems Flashcards
What passes through the carpal tunnel
Median nerve
4 FDS tendons
4 FDP tendons
FDS tendon
Where would you see muscle wasting in carpal tunnel syndrome
Thenar eminence
Which clinical examination tests would be positive in carpal tunnel
Tinel’s
Phalen’s
How can you confirm a diagnosis of carpal tunnel
Nerve conduction study
Will show slow conduction over the wrist
What are the non-surgical treatments for carpal tunnel
Wrist splints at night
Injections of corticosteroid
What groups/conditions is Dupuytren’s associated with
Northern Europeans/Scandinavians
Alcoholic cirrhosis
Diabetics
Can occur with other fibromatoses
Which fingers are most commonly affected by trigger finger
Middle
Ring
What are the symptoms of trigger finger
Clicking sensation on movement
Pain
Finger may lock in flexed position and need to forcibly move it back into extension
In which group is DIP joint OA common in
Post-menopausal women
What are the symptoms of DIP joint OA
Pain & tenderness Swelling Stiffness Bony thickening (Heberden's nodes) May have associated ganglion cyst
List some treatments for OA in the hands
Removal of osteophytes Excision of associated cysts Arthrodesis - severe pain Arthroplasty Steroid injection
What can cause OA of the MCP joints
Previous injury
Occupational stress
Gout
Infection
What can cause OA in the radio-carpal joint
Trauma
How is OA of the radio-carpal joint treated
Arthroplasty or fusion
Which joint in the hand does RA usually spare
DIPs
