Hand complications

Question 1

What is a ganglion cyst

Answer 1

tissue bulging out of joint or tendon
forms balloon on a stalk
filled with synovial fluid

Question 2

Ganglion cyst txt

Answer 2

nothing
surgical excision (if dictacted)

Question 3

Where are common areas for ganglion cysts

Answer 3

dorsal scapholunate joint
volar scapholunate joint
DIP finger
pulleys of flexor tendons

Question 4

What is a concern with DIP ganglion cysts

Answer 4

nail deformity and increase of nail infection

Question 5

What is dupuytren’s contracture

Answer 5

autosomal

fibrosis of palmar fascia on palm

Question 6

dupuytren’s contracture clinical signs

Answer 6

dimpling and pucker of the skin

constant contracture of MP joints and DIP joints

Question 7

dupuytren’s contracture epidemiology

Answer 7

M >40
northern european
diabetics, epilepsy, alcoholism

Question 8

dupuytren’s contracture txt

Answer 8

conservative

surgical when hand can’t be flat on table

Question 9

What is carpal tunnel syndrome

Answer 9

entrapment of median nerve

Question 10

carpal tunnel clinical signs

Answer 10

paresthesia of median nerve territory

weakness of thenar m.

Question 11

carpal tunnel causes

Answer 11

RA
pituitary gland hyperactivity
hypothyroidism
work stress
fluid retention
mechanical problems in wrist joint

Question 12

carpal tunnel epidemiology

Answer 12

F 3x > M

Question 13

carpal tunnel tests

Answer 13

tinel’s test

phalen’s test

Question 14

what is dequervain’s tenosynovitis

Answer 14

painful movement of the thumb

Question 15

dequervain’s txt

Answer 15

Rest
ice
anti-inflam meds
splinting
PT
corticosteroid injection
surgery

Question 16

dequervain’s tests

Answer 16

Finkelstein’s maneuver

Question 17

What is mallet finger

Answer 17

injury to DIP joint

Question 18

mallet finger cause

Answer 18

forced flexion of DIP joint during extension

Question 19

mallet finger txt

Answer 19

full extension splint 8-10 weeks

Question 20

what is swan neck deformity

Answer 20

due to mallet finger

permanent flexion of DIP joint and hyperextend of PIP joint

Question 21

What is boutonniere finger

Answer 21

rupture of central slip of extensor tendon
affects PIP joint
flexion of PIP and hyperextend of DIP

Question 22

boutonniere finger txt

Answer 22

full extension splint 8 - 10 weeks

Question 23

what is trigger finger

Answer 23

swelling flexor tendon so no glide through pulley on finger

finger stuck at PIP joint flexed

Question 24

trigger finger txt

Answer 24

corticosteroid injects

surgery

Question 25

What is jersey finger

Answer 25

actue rupture of FDP tendon from DIP joint
loss of flexion of finger
ring finger usually

Question 26

jersey finger txt

Answer 26

surgery in 1 week