Hand complications Flashcards
What is a ganglion cyst
tissue bulging out of joint or tendon
forms balloon on a stalk
filled with synovial fluid
Ganglion cyst txt
nothing surgical excision (if dictacted)
Where are common areas for ganglion cysts
dorsal scapholunate joint
volar scapholunate joint
DIP finger
pulleys of flexor tendons
What is a concern with DIP ganglion cysts
nail deformity and increase of nail infection
What is dupuytren’s contracture
autosomal
fibrosis of palmar fascia on palm
dupuytren’s contracture clinical signs
dimpling and pucker of the skin
constant contracture of MP joints and DIP joints
dupuytren’s contracture epidemiology
M >40
northern european
diabetics, epilepsy, alcoholism
dupuytren’s contracture txt
conservative
surgical when hand can’t be flat on table
What is carpal tunnel syndrome
entrapment of median nerve
carpal tunnel clinical signs
paresthesia of median nerve territory
weakness of thenar m.
carpal tunnel causes
RA pituitary gland hyperactivity hypothyroidism work stress fluid retention mechanical problems in wrist joint
carpal tunnel epidemiology
F 3x > M
carpal tunnel tests
tinel’s test
phalen’s test
what is dequervain’s tenosynovitis
painful movement of the thumb
dequervain’s txt
Rest ice anti-inflam meds splinting PT corticosteroid injection surgery
dequervain’s tests
Finkelstein’s maneuver
What is mallet finger
injury to DIP joint
mallet finger cause
forced flexion of DIP joint during extension
mallet finger txt
full extension splint 8-10 weeks
what is swan neck deformity
due to mallet finger
permanent flexion of DIP joint and hyperextend of PIP joint
What is boutonniere finger
rupture of central slip of extensor tendon
affects PIP joint
flexion of PIP and hyperextend of DIP
boutonniere finger txt
full extension splint 8 - 10 weeks
what is trigger finger
swelling flexor tendon so no glide through pulley on finger
finger stuck at PIP joint flexed
trigger finger txt
corticosteroid injects
surgery
What is jersey finger
actue rupture of FDP tendon from DIP joint
loss of flexion of finger
ring finger usually
jersey finger txt
surgery in 1 week