hand conditions Flashcards
1
Q
treatment of mucous cysts
A
- may be left alone
- excision (often needs rotation flap)
2
Q
what are ganglions
A
outpouchings of synovial cavity
3
Q
treatment for ganglions
A
painless and will resolve over time
4
Q
management of ganglion if patient wants it gone
A
- aspiration
- excision
5
Q
what is trigger finger
A
when swollen tendon gets caught on edge on A1 pully
-pain over A1 pully (MC head) causes sticking of finger
6
Q
trigger finger management
A
- often resolves by itself
- splint
- tendon sheath injections (steroid plus LA)
- surgery
7
Q
what is Dupuytrens contracture
A
thickening and contracture of subdermal fascia leading to fixed flexion deformity of fingers
8
Q
cause of dupuytrens contracture
A
- genetics
- DM
- alcohol/cirrhosis
- smoking
- epilepsy
9
Q
treatment for dupuytrens
A
- stretches
- surgery MAINSTAY (segmental fasciectomy, fasciectomy, demofasciectomy, amputation)
- collagen injection
- percutaneous needle fasciotomy
10
Q
what is paronychia
A
infection within nail fold
11
Q
management of paronychia
A
- elevate
- antibiotics
- incise and drain
