Hand and Spine Flashcards
(26 cards)
What is Cubital tunnel syndrome?
Compression of ulnar nerve at elbow
Numbness and tingling to 4 and 5 digits
What is Carpal tunnel syndrome?
Compression of median nerve at the wrist
Numbness and tingling to 1-3 digits, night pain
What is found on examination in a patient with carpal tunnel syndrome?
Positive phalens, tinels, and compression test
What is trigger finger?
Inflammation of flexor tendont gets it snapping through pulleys in hand
Catching of finger when actively flexing
Palpable knot at distal palm
What is the treatment for tigger finger?
NSAIDS
Steroid injections
A1 pulley release
What is the treatment for carpal tunnel?
Night splints
Steroid injections
Carpal tunnel release
What is Mallet finger?
Laceration of extensor tendong at base of DP
Inability to straighten finger tip
What is the treatment for mallet finger?
Stack splinting for up to 6 weeks
What is De Quervain Tenosynovitis?
Swelling and inflammation of the tendons that run through the 1st dorsal compartment
Produces pain over radial styloid
What is the treatment for De Quervain Tenosynovitis?
Splint
NSAIDs
Steroid injection
Release of compartment
What is Dupuytren Disease?
Nodular thickening of the palmar fascia
Create painless nodules that eventually draw the 4th and 5th digits
What test is associated with Dupuytren disease?
Table top test
What is the treatment for Dupuytren disease?
Splinting
Collagenase injections
Fasciotomies
What is a herniated nucleus pulposis?
Extrusion of center of disc posteriorly, compressing nerve roots
Most common at L4-5 and L5-S1
Affects nerve of lower vertebrae
What are the symptoms of a herniated disc?
Abrupt, but may be insidious pain
Unilateral radicular pain, worse with activity
What is treatment for herniate disc?
NSAIDS
PT
Rest
Steroid injections
Surgery
What is spondylolisthesis?
Forward slippage of lumbar vertebral body
Causes back pain with bending, may cause claudication
What is the treatment for spondylolisthesis?
NSAIDs
Surgical fusion
What is spondylosis?
Degenerative changes in the facets or discs leading to osteophytes and possible nerve compression
Causes achy pain in spine, worse with ROM
What is the treatment for spondylosis?
NSAIDs
Steroids
Traction
Surgical decompression and fusion
What is DISH?
Idiopathic disease characterized by osteophyte formation spanning several vertebra
Causes stiffness
What is the treatment for DISH?
NSAIDs
What is radiculopathy?
Compression of nerve root
Causes unilateral radiating dermatomal pain
NO upper motor neuron signs
What is the treatment for radiculopathy?
NSAIDs
Steroids
PT traction
Surgical decompression
