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MSK > Hand > Flashcards

Hand Flashcards

1
Q

What are important factors to consider when a hand injury has occurred?

A 
Handedness
DM
Arthritis
Occupation
Hobbies e.g. instruments
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2
Q

What details of the injury needs to be accounted for?

A

Crush, burn, sharp injury
Gloves?
Timing of injury
Energy level of injury

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3
Q

What symptoms need to be noted?

A

How painful
Muscle weakness?
Loss of sensation

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4
Q

What factors about the wound needs to be noted?

A 
Where 
How long
How deep
Dirty/clean
Skin loss
What structures are evident
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5
Q

What is a subungual haematoma?

A

Bleeding under the nailbed

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6
Q

Describe the zones in a nailbed injury

A

Zone 1 - to middle of nail
Zone 2- to under nailbed
Zone 3- between nailbed and DIP
Zone 4- at DIP

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7
Q

What is eschar?

A

Thick, leathery, inelastic skin which forms after burns.

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8
Q

What is a mucous cyst?

A

Outpouching of synovial fluid

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9
Q

What does a mucous cyst look like?

A

A blister.

May be painful, may fluctuate or discharge, may deform nail

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10
Q

What is a ganglion?

A

Outpouching of synovial cavity

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11
Q

Where are ganglions mostly found?

A

At synovial joints

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12
Q

What is in a ganglion?

A

Synovial fluid

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13
Q

If a ganglion needs to be treated, how can this be done?

A

Aspiration

Excision

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14
Q

What is trigger finger?

A

Tendonitis which gets caught on A1 pulley and causes sticking

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15
Q

What does A in A1 pulley mean?

A

Annular

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16
Q

Where do tendons run on the finger?

A

Within the flexor tendon sheath

17
Q

What is the management for trigger finger?

A

Often conservative with splint
Steroid and LA injection
Surgery to divide A1 pulley

18
Q

What is DeQuervain’s tenosynovitis?

A

Inflammed tendons, running through their sheaths

19
Q

Which muscles are involved in DeQuervain’s tenosynovitis?

A

Abductor pollicis brevis

Adbuctor pollicis longus

20
Q

What is Finklestein’s test?

A

For DeQuervain’s.

Put thumb inside fist and shake. Causes pain

21
Q

What is the management for DeQuervain’s syndrome?

A

NSAIDs
Splint
rest
Steroid

22
Q

What is Dupuytren’s contracture?

A

Thickening and contracture of the subdermal fascia, leading to cords which cause fixed flexion deformities

23
Q

What are possible linkages with Dupuytrens?

A

DM
Cirrhosis
Smoking
Carbamazapine

24
Q

What is the table top test?

A

If can put fingers flat on the table then ok if not then surgery

25
Q

Where do skin grafts come from for hand skin?

A

Medial upper arm.

26
Q

What is paronychia?

A

Infection within nail fold

27
Q

How does a flexor tendon sheath infection present?

A

Highly painful, erythematous, following tendon to a finger, possible lymphangitis

MSK (30 decks)

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