Hand Flashcards

1
Q

What is De Quervain’s tenosynovitis? Describe its pathophysiology

What causes this?

A

Inflammation of the tendon sheaths in the wrist, most commonly affecting the:

  • Abductor pollicis longus (APL) tendon
  • Extensor pollicis brevis (EPB) tendon

It is a type of repetitive strain injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the typical clinical presentation of De Quervain’s tenosynovitis

A
  • Pain (radial side of wrist)

- There may also be associated weakness/numbness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is “trigger finger”? Describe its pathophysiology

What is this also known as?

A

Inflammation of the tendon sheaths in the fingers, affecting finger flexion and extension

AKA stenosing tenosynovitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the typical clinical presentation of trigger finger

A
  • Pain (affected finger)

- “Catching”/finger getting stuck during flexion/extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the conservative, medical and interventional management of De Quervain’s tenosynovitis

A

Conservative:

  • Rest
  • Splinting

Medical:

  • NSAIDs
  • Steroid injection

Interventional:
- Surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the conservative, medical and interventional management of trigger finger

A

Conservative:

  • Rest
  • Splinting

Medical:

  • NSAIDs
  • Steroid injection

Interventional:
- Surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is carpal tunnel syndrome?

A

Compression of the median nerve as it travels through the carpal tunnel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Give some examples of risk factors for developing carpal tunnel syndrome

A
  • Obesity
  • Pregnancy
  • Autoimmune conditions, e.g. hypothyroidism, RA
  • Acromegaly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the typical presentation of carpal tunnel syndrome

A

Pain/paraesthesia, weakness and wasting affecting the median nerve distribution (thumb + lateral 2 and a half fingers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which two special tests can be used to detect carpal tunnel syndrome on examination?

A
  • Tinel’s test

- Phalen’s test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the conservative, medical and interventional management of carpal tunnel syndrome

A

Conservative:

  • Rest
  • Splinting

Medical:

  • NSAIDs
  • Steroid injections

Interventional:
- Surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a ganglion cyst?

A

Sac of synovial fluid which originates from tendon sheath or joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the typical presentation of a ganglion cyst

A

Firm, painless lump which may appear rapidly or gradually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How are ganglion cysts usually managed?

A

Conservatively (intervention to remove the cyst has a high rate of recurrence)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly