Hand Conditions Flashcards
Dupuytrens contracture pathology? (4)
increased myofibroblasts
intracellular contractile elements
regulated by growth factors
production of collagen
Dupuytrens symptoms?
usually not painful loss of finger extension hand in pocket difficult gripping things difficult washing face difficult
Dupuytrens non-operative treatment?
SPLINTS DO NOT WORK
observe
radiotherapy
Dupuytrens operative treatment?
partial fasciectomy dermo-fasciectomy (may reduce recurrence) arthrodesis amputation percutaneous needle fasciotomy
Trigger finger pathophysiology?
2 tendons to each finger that run in sheaths
swelling in tendon catches on pully
what fingers for trigger finger?
ring and thumb
women more frequent
trigger finger diagnosis?
clicking sensation with movement of digit
lump in palm
having to use other hand to unlock
trigger finger non-operative treatment?
splintage
steroid
trigger finger operative treatment?
percutaneous release
open surgery
what happens in De Quervain syndrome?
inflammation of two tendons that control movement of the thumb and their tendon sheath
De Quervain syndrome symptoms?
pain localised to radial side of wrist
aggravated by thumb movement
sometimes localised swelling
thickening of localised segment
De Quervain syndrome diagnosis?
Finklestein’s test
Resisted thumb extension
De Quervain syndrome treatment?
splints
steroid injection
surgical decompression
what is a ganglion?
a myxoid degeneration from joint synovial which arises from the joint capsule, tendon sheath or ligament
Ganglia diagnosis?
lump which is firm and non-tender
change in size
smooth
never fixed to skin
