Hand Conditions and Injuries

Question 1

What is a mucous cyst?

Answer 1

An outpouching of synovial fluid from the DIP joint

Question 2

What is a ganglion?

Answer 2

An outpoutching of the synovial cavity

Question 3

Where do ganglions commonly appear?

Answer 3

Wrist

Question 4

What occurs in trigger finger syndrome?

Answer 4

Tendon running within flexor tendon sheath swells and gets caught on A1 pulley

Question 5

How is trigger finger managed?

Answer 5

Steroid injection between tendon and fibrous sheath

Surgery (divide A1 pulley)

Question 6

What is DeQuervain’s tenosynovitis?

Answer 6

An inflammation at the extensor tendons at the wrist near the base of the thumb

Question 7

What test is useful in DeQuervain’s?

Answer 7

Finklestein test

Question 8

How is DeQuervain’s treated non-surgically?

Answer 8

NSAIDs
Splint
Steroid injection

Question 9

How is DeQuervain’s treated surgically?

Answer 9

Decompression - sheath is divided

Question 10

What is Dupuytren’s contracture?

Answer 10

Thickening and contracture of subdermal palmar fascia causing fixed flexion deformity

Question 11

In Dupuytren’s there is a dysplasia of the fibres. True/false?

Answer 11

False - metaplasia from fibroblasts to myofibroblasts

Question 12

In Dupuytren’s, MCP involvement has a better prognosis than PIP involvement. True/false?

Answer 12

True

Question 13

How is Dupuytren’s mainly treated?

Answer 13

Surgical fasciectomy

Question 14

What is paronychia?

Answer 14

Infection within the nail fold

Question 15

Flexor tendon sheath infection is a surgical emergency. True/false?

Answer 15

True

Question 16

What is degloving in terms of trauma?

Answer 16

When the top and bottom layers have separated

Question 17

A Boxer’s fracture involves a fracture of which finger?

Answer 17

Little finger

Question 18

What is the clinical sign of mallet finger?

Answer 18

Resisted finger extension

Question 19

What happens in Bennett’s fracture?

Answer 19

Base of the thumb is being pulled down

Question 20

Which tendon zone injury has the worst patient prognosis?

Answer 20

Zone II

Question 21

How is function of the flexor digitorum profundus assessed?

Answer 21

By holding PIP straight and asking patient to bend the tip of finger

Question 22

How is function of the flexor digitorum superficialis assesed?

Answer 22

By holding other fingers straight and getting the patient to bend finger

Question 23

What must be done in patients with mutilating injuries?

Answer 23

Keep it clean
Establish vascularity
Remove necrotic tissue

Question 24

What are eschars?

Answer 24

Thick leathery bits of skin that form after burns and cause contraction