Hand

Question 1

partial flexion at MP and proximal IP joints of D4/5; progressive palmar fascial shortening & thickening

Answer 1

Dupuytren contracture of palmar fascia

Question 2

palmar fascial thickness; swelling on dorsum; can spread through carpal tunnel and to forearm

Answer 2

hand infections

Question 3

painful digit movement and inflammation of tendon and synovial sheath

Answer 3

tenosynovitis

Question 4

pain in wrist radiating to forearm and thumb because of APL & EPB tendons rubbing together

Answer 4

quervain tenovaginitis stenosans

Question 5

stenosis of ossteofibrous tunnel because of thickening of fibrous digital sheath on palmar surface

Answer 5

digital tenovaginitis stenosans

Question 6

FDS or FDP tendons enlarge before digital tunnel ; difficult digit extension

Answer 6

trigger finger

Question 7

where and what artery would you compress to stop profuse bleeding of palmar arches?

Answer 7

brachial artery proximal to elbow

Question 8

pain, paresthesia, & cyanosis of digits; brought on by stress and cold

Answer 8

raynaud’s syndrome

Question 9

whats the treatment for Raynaud’s?

Answer 9

cervicodorsal presynaptic sympathectomy to dilate arteries

Question 10

where are the common places of median nerve impingement?

Answer 10

carpal tunnel & between heads of pronator teres

Question 11

excessive exercise, fluid retention, infection can cause?

Answer 11

reduction in size of carpal tunnel or increase in size of structures inside it —> carpal tunnel syndrome

Question 12

compression of recurrent median nerve?

Answer 12

weakness of thenar muscles (carpal tunnel syndrome)

Question 13

weakness of intrinsic hand muscles & sensory loss to medial side of hand

Answer 13

handlebar neuropathy due to pressure on hook of hamate compressing ulnar nerve

Question 14

single transverse palmar crease distinct in trisomy 21 (down’s syndrome)

Answer 14

dermatoglyphies