foot and hand conditions Flashcards
dupuytren’s contracture
nodular hypertrohpy of palmar fascia common in ring and little fingers causes- familial (viking gene) risk factors phenytoin treatment
functional problems of dupuytren
loss of finger extension
PCPJ contracture
treatment
partial fascietomy dermofascietomy arthrodesis amputation percutaneous needle fasciotomy collagenase
garrod’s pads
acquired- repetitive trauma
associated with other conditions
ganglia
myxoid degeneration from joint synovia
-firm non tender, changes in size, normally not fixed to underlying tissues
ganglion
mucin-filled cyst
attached to synovial cavity
no synovial lining
most common on dorsum
stenosing tenosynovitis (trigger finger)
asssociated with carpal tunnel
De Quervain’s tenosynovitis
De Quervain’s syndrome
increased in post partum
several weeks pain localised to radial side of wrist
Finkelstein’s test
test used to diagnose de Quervain’s tenosynovitis in people who have wrist pain. Classical descriptions of the Finkelstein’s test are when the examiner grasps the thumb and ulnar deviates the hand sharply.
carpal tunnel syndrome
numbness tingling pain night pain clumsiness PRAGMATIC
anatomical snuffbox
space bordered by
abductor pollicis longus
and extensor pollicis brevis longus anteriorly
extersor pollicis longus posteriorly
scaphoid fracture
most cmmon fractured bone in carpus
most;y at waist of scaphoid
Osteoarthritis of base of thumb
trapezietomy treatment
gold standard
ulnar collateral ligament injury of thumb MCPJ
gamekeepers thumb
skiers thumb
bennett’s fracture
intraarticular fracture at base of 1st metacarpal
displacement due to proximal pull from abductor pollicis longus
