Common Conditions of the Hand

Question 1

What is the pathology of Dupuytren’s ?

Answer 1

Increased number of myofibroblasts

Question 2

What functional issues does Dupuytren’s cause?

Answer 2

Loss of finger extension

Question 3

What are the operative and non-operative options for Dupuytren’s ?

Answer 3

Non-operative:

• Observe
• Splints
• Radiotherapy

Operative:

• Partial fasciectomy
• Dermo-fasciectomy
• Percutaneous needle fasciotomy
• Collagenase

Cannot be cured.

Question 4

What is trigger finger?

Answer 4

A thickening of the tendon sheaths (pulley).

Question 5

What diseases are tigger finger associated with?

Answer 5

DM
RA
Gout

Question 6

What are the clinical signs of trigger finger?

Answer 6

Clicking sensation with digit movement.
Lump in palm under pulley.
Locking of finger.

Question 7

What are the suggested operative and non-operative treatments for trigger finger?

Answer 7

Non-operative:

• Splintage
• Steroids

Operative:

• Percutaneous release
• Open surgery

Question 8

What is D ?

Answer 8

Inflammation of two tendons that control movement of the thumb and their tendon sheath.

Question 9

What is Finklestein’s tets?

Answer 9

Where the dr. grasps the thumb and ulnar deviates the hand sharply.

Question 10

What is the operative and non-operative treatment for De Quervain’s Tenosynovitis?

Answer 10

Non-operative:

• Splints
• steroid injection

Operative:
-Decompression