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MSK Revision > Hand Problems > Flashcards

Hand Problems Flashcards

1
Q

What is Dupuytren’s Contracture?

A

This is the thickening and fibrosis of the palmar aponeurosis of the 4th finger

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2
Q

What re the risk factors of DC?

A 
Diabetes
Alcohol
Tobacco
Epilepsy 
HIV
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3
Q

What symptoms does DC cause?

A

Painless loss of extension of the fingers

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4
Q

What is the epidemiology of this condition?

A

Exclusively white males, more common over 45

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5
Q

Should you use splints in DC?

A

NO -they don’t work

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6
Q

What is the management of DC

A

Partial/dermo fasiectomy - 50% relapse

Physiotherapy

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7
Q

What is tenosynovitis?

A

Inflammation of the flexor tendon sheaths due to overuse/ abnormal use

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8
Q

What are the symptoms of De Quervain’s Tenosynovitis? And how can we treat it?

A

Pain and swelling around the radial styloid local tenderness on flexion

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9
Q

What is trigger finger?

A

Swelling on the tendon that causes catching on the sheath and locking

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10
Q

What are the symptoms of trigger finger?

A

Clicking sensation and having to physically unlock the finger

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11
Q

What is the management of trigger finger?

A

Splinting and steroids or decompression

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12
Q

What examination should you do in DQT?

A

Finkelstein’s test

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13
Q

What is a ganglion?

A

A fluid lump arising from the joint sheath, capsule or ligament

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14
Q

What re the management options for a ganglion?

A

Reassure
Aspiration
Excision

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15
Q

How common is OA at the base of the thumb?

A

Affects 1 in 3 women

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16
Q

What re the symptoms of OA at the base of the thumb?

A

Pain, stiffness, joint deformity, general loss of function

17
Q

What re the management options for OA at the base of the thumb?

A 
Non-operative = lifestyle modifications, NSAID's splint and steroid injection
Operative = trapezoiectomy
18
Q

What is the most common bone affected in a scaphoid fracture?

A

Carpus

19
Q

What causes a scaphoid fracture?

A

Fall onto a hand

20
Q

What are the symptoms of this type of fracture, and how do we diagnose?

A

Pain in the anatomical snuffbox

X-ray

21
Q

Which nerve is involved in a carpal tunnel compression?

A

Median

22
Q

What 2 examination techniques are you gong to use in carpal tunnel syndrome?

A

Phalens test = reverse prayer sign

Tinnels test - tap on the medial aspect of the wrist to see if it elicits symptoms

23
Q

What is carpal tunnel associated with?

A

Gout
Pregnancy
Obesity
RA

24
Q

How does CTS present?

A

Pain and parasthesia over the lateral 3 +1/2 fingers + wasting of the thenar eminence

25
Q

What is the management of CTS?

A

Splinting at night and injections with steroids

May need surgical decompression

26
Q

Which nerve is involved in claw hand?

A

Ulnar

27
Q

What nerve compression causes wrist drop?

A

Radial

28
Q

Id the Median nerve is compressed what does this cause?

A

Hand of Benediction

MSK Revision (14 decks)

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