Hand disorders Flashcards
De Quervain’s tenosynovitis primarily effects which two tendons
Abductor pollicis longus
Extensor pollicis brevis
De Quervain’s tenosynovitis causes
pain on radial side of the wrist
bilateral De Quervain’s tenosynovitis is often caused by
new patents liftin new born babies
special test for De Quervain’s tenosynovitis
Finkelstein’s test
patient making a fist with their thumb inside their fingers, then the wrist is adducted is what test
Finkelstein’s test for De Quervain’s tenosynovitis
risk factors for trigger finger
women
40-50
diabetes
finger that gets stuck in a flexed position, resolves with a popping or clicking sound that is tender and worse in the morning
trigger finger
treatment of trigger finger
Rest and analgesia
Splinting
Steroid injections
Surgery
what is Dupuytren’s contracture
fascia of the hand becomes thickened and tight
risk factors for Dupuytren’s contracture
male
maual labour
diabetes
smoking
alcohol
epilepsy
ring finger contracted with hard nodules in palm
Dupuytren’s contracture
test for Dupuytren’s contracture
table top test
treatment for Dupuytren’s contracture
fasciotomy
Carpal tunnel syndrome is caused by compression of the
medial nerve
median nerve provides sensory innervation of the palmar aspects of the
thumb
index and middle finger
lateral ring finger
median nerve supplies which muscles
Abductor pollicis brevis
Opponens pollicis
Flexor pollicis brevis
bilateral carpal tunnel syndrome can be caused by
acromegaly
Phalen’s test is used to look for
carpal tunnel syndrome
Tinel’s test is used to look for
carpal tunnel syndrome
describe Phalen’s test
fully flexing the wrist and holding it in this position
describe Tinel’s test
tapping the wrist at the location where the median nerve travels through the carpal tunnel
Ganglion cysts originate from
tendon sheaths or joint
ganglion cysts are full of
synovial fluid
firm, non tender, lesion less than 2cm that transilluminates
ganglion cyst
most ganglion cysts are managed
conservatively
