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M3 ORTHO > Hand > Flashcards

Hand Flashcards

1
Q

What is paronychia

A

A soft tissue infection of the proximal or lateral nail fold

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2
Q

Risk factors for paronychia

A

Acute: Trauma
Chronic: Job involving constant water+ irritant exposure, DM, psoriasis, steroid use, retroviral therapy

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3
Q

Management of paronychia

A

Warm soaks and oral anibiotics / antifungals + Incision and drainage if fluctuance around nail is present

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4
Q

AMPLE history

A

Allergies
Medications
Past history
Last Meal
Event

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5
Q

Time cutoff for warm ischemia reperfusion

A

6hrs

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6
Q

Reason why not all amputations are reperfused

A

Risk of reperfusion injury from muscle breakdown, releasing toxins into systemic circ.

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7
Q

Tests for de quervains tenosynovitis

A

Finkelstein and Hitchhiker

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8
Q

Risk Factors for trigger finger

A

Age 50-60
Female
DM
RA
Amyloidosis
Gout
CKD

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9
Q

Risk Factors for trigger finger

A

Age 50-60
Female
repetitive movements
DM
RA
Amyloidosis
Gout
CKD

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10
Q

Risk Factors for trigger finger

A

Age 50-60
Female
repetitive movements
DM
RA
Amyloidosis
Gout
CKD

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11
Q

Pulley affected by trigger finger

A

A1

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12
Q

Classification of trigger finger

A

Green’s

1) Pain and a bump
2) Catching
3a) Needs passive extension
3b) Needs passive flexion
4) Fixed Flexion Deformity

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13
Q

Definitive surgical mx of trigger finger

A

Division of A1 pulley

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14
Q

6 extensor compartments of hand

A

1st: APL,RPB
2nd: ECRL, ECRB
3rd: EPL
4th: EDC, EIP
5th: EDM
6th: ECU

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15
Q

Pathognomonic signs for Duprytrens contracture

A

Pit and nodule

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16
Q

Pathophysiology of Duprytrens contracture

A

Fibrosis of deep palmar fascia

17
Q

Risk factors for Duprytren contracture

A

Alcoholism
Smoking
DM
Endocrinopathy
Anti epileptics
HIV
FHx

18
Q

Mx of Duprytren contracture

A

Conservative:
1.Orthosis eg gloves
2. Injection of H&L /collagenase
Surgical
1. Fasciectomy(high recurrence rate)

19
Q

Main complication of H&L injection for trigger finger

A
  1. Tendon rupture
  2. Steroid flare
  3. Infection
  4. Fat atrophy
    Hypopigmentation
20
Q

Max number of H&L injections for trigger finger

A

2x , 6 months apart

21
Q

What is de quervains tenosynovitis

A

Stenosing tenosynovitis of the 1st dorsal/extensor compartment

22
Q

Signs of severe cubital tunnel syndrome

A
  1. Wasting of intrinsic muscles of hand
  2. weakness of?
  3. Tinel’s sign
  4. Froment’s sign
  5. Wartenberg sign
  6. Ulnar claw hand
23
Q

associations with Duprytren’s contracture

A
  1. Alcoholism
  2. DM
  3. Use of anti epileptics
  4. Hereditary
  5. Plantar fibromatosis
24
Q

Surgical management of Duprytren’s contracture

A

Segmental or partial palmar fasciectomy

M3 ORTHO (10 decks)

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