Hand Conditions

Question 1

what is a mucous cyst?

Answer 1

an outpouching of synovial fluid due to DIP joint OA

Question 2

who usually gets mucous cysts?

Answer 2

women more than me

usually middle aged or elderly

Question 3

how is a mucous cyst managed?

Answer 3

will disappear themselves over time

can be excised if causing issues

Question 4

what is a ganglion?

Answer 4

an outpouching of the synovial cavity

Question 5

who is most commonly affected by ganglions?

Answer 5

women

can occur at any age

Question 6

what happens when a ganglion is shone with light?

Answer 6

trans illuminates

Question 7

how is a ganglion managed?

Answer 7

goes away itself

can be aspirated or excised

Question 8

what is trigger finger?

Answer 8

tendon getting caught in a pulley causing a flexion deformity

Question 9

how is trigger finger managed?

Answer 9

splinting
steroid injections
surgery

Question 10

what does the median nerve supply?

Answer 10

motor nerve to LOAF

sensory to the hand, thumb and first three fingers

Question 11

what are the LOAF muscles?

Answer 11

lumbricals 1+2
opponens pollicis
abductor pollicis brevis
flexor pollicis brevis

Question 12

what clinical tests can be done for carpal tunnel syndrome?

Answer 12

phalen’s test

tinel’s test

Question 13

what is de quervain’s tenosynovitis?

Answer 13

inflammation within the tendon sheath of the first extensor compartment

Question 14

what clinical test should be done for de quervain’s tenosynovitis?

Answer 14

finklestein’s test

Question 15

how is de quervain’s tenosynovitis managed?

Answer 15

NSAIDs
splint
steroid injections
surgery

Question 16

what is dupuytren’s contracture?

Answer 16

thickening and contracture of the palmar fascia causing a fixed flexion deformity of the fingers

Question 17

how does dupuytren’s contracture usually start?

Answer 17

as a palmar pit or nodule

Question 18

what clinical test should be done for dupuytren’s contracture?

Answer 18

table top test

Question 19

who is more commonly affected by dupuytren’s contracture?

Answer 19

males

Question 20

how is dupuytren’s contracture managed?

Answer 20

stretches

surgery

Question 21

what is paronychia?

Answer 21

infection within the nail fold

Question 22

who is commonly affected by paronychia?

Answer 22

children

Question 23

what puts people at risk of paronychia?

Answer 23

nail biting

Question 24

how is paronychia managed?

Answer 24

elevation
antibiotics
incision and drainage

Question 25

how is recurrent paronychia managed?

Answer 25

nail plate removal and irrigation of the nail fold