hand conditions Flashcards
scaphoid fracture etiology
trauma, FOOSH
scaphoid fracture PE (I, P, Special, NV)
I: normal, possible swelling or deformity
P: focal snuffbox tenderness and guarding of ASB, diffuse tenderness
Special: finklesteins maneuver
NV: radial, median, ulnar
scaphoid fracture treatment
thumb spica split
proximal pole fracture needs surgery, can’t splint
carpal tunnel syndrome etiology
exposure to vibration
carpal tunnel syndrome PE (I, P, percussion, special, St, S)
I: normal, possible thenar atrophy and dry skin over median nerve dist. in late stage
P: normal (15 secs)
Percussion: tinnels at wrist
Special: phalens + reverse phalens
St: test APL
S: 2 point discrimination
dequervains tenosynovitis etiology
inflammation of two tendons at radial side of wrist
repetitive lifting
dequervains tenosynovitis presentation
radial sided wrist pain at first dorsal compartment of wrist
dequervains tenosynovitis PE (I, P, St, Special)
I: normal
P: tenderness at first dorsal compartment
St: diminished
Special: finklesteins
dequervains tenosynovitis treatment
rest, anti-inflammatories, immobilization, steroid injection, dequervains release.
metacarpal fracture etiology
break in a metacarpal bone. result of punching (boxers fracture)
number one priority of metacarpal fracture
is it open? possible infection risk
metacarpal fracture PE (I, P, St, ROM, NV)
I: swelling, deformity
P: tenderness at fracture site
St: check finger and wrist motion
ROM: check with fist closed, flexion + extension of fingers
NV: rare, check digital nerves
metacarpal fracture treatment
ulnar gutter/radial gutter splint for 1 week and then buddy taping + progressive motion
buddy taping and ROM from onset
finger stiffness!!
finger fracture treatment
buddy taping for non displaced proximal/middle shaft phalanx fracture
no tape over knuckles
ganglion cyst etiology
outpouching of joint fluid that produces hard palpable bump
at DIP its known as a synovial cyst
