Hand Problems Flashcards
What is Dupuytren’s Contracture?
This is the thickening and fibrosis of the palmar aponeurosis of the 4th finger
What re the risk factors of DC?
Diabetes Alcohol Tobacco Epilepsy HIV
What symptoms does DC cause?
Painless loss of extension of the fingers
What is the epidemiology of this condition?
Exclusively white males, more common over 45
Should you use splints in DC?
NO -they don’t work
What is the management of DC
Partial/dermo fasiectomy - 50% relapse
Physiotherapy
What is tenosynovitis?
Inflammation of the flexor tendon sheaths due to overuse/ abnormal use
What are the symptoms of De Quervain’s Tenosynovitis? And how can we treat it?
Pain and swelling around the radial styloid local tenderness on flexion
What is trigger finger?
Swelling on the tendon that causes catching on the sheath and locking
What are the symptoms of trigger finger?
Clicking sensation and having to physically unlock the finger
What is the management of trigger finger?
Splinting and steroids or decompression
What examination should you do in DQT?
Finkelstein’s test
What is a ganglion?
A fluid lump arising from the joint sheath, capsule or ligament
What re the management options for a ganglion?
Reassure
Aspiration
Excision
How common is OA at the base of the thumb?
Affects 1 in 3 women
What re the symptoms of OA at the base of the thumb?
Pain, stiffness, joint deformity, general loss of function
What re the management options for OA at the base of the thumb?
Non-operative = lifestyle modifications, NSAID's splint and steroid injection Operative = trapezoiectomy
What is the most common bone affected in a scaphoid fracture?
Carpus
What causes a scaphoid fracture?
Fall onto a hand
What are the symptoms of this type of fracture, and how do we diagnose?
Pain in the anatomical snuffbox
X-ray
Which nerve is involved in a carpal tunnel compression?
Median
What 2 examination techniques are you gong to use in carpal tunnel syndrome?
Phalens test = reverse prayer sign
Tinnels test - tap on the medial aspect of the wrist to see if it elicits symptoms
What is carpal tunnel associated with?
Gout
Pregnancy
Obesity
RA
How does CTS present?
Pain and parasthesia over the lateral 3 +1/2 fingers + wasting of the thenar eminence
What is the management of CTS?
Splinting at night and injections with steroids
May need surgical decompression
Which nerve is involved in claw hand?
Ulnar
What nerve compression causes wrist drop?
Radial
Id the Median nerve is compressed what does this cause?
Hand of Benediction
