Hand Soft Tissue Rehabilitation Flashcards
De quervain tenosynovitis
Inflammation of extensor pollicis brevis tendon and adductor pollicis longus due to overuse
Formation mechanism
Repetitive mechanism
Pregnancy
Professional
Accompanied by CTS, trigger fingers, lateral epicondylitis or rotator cuffs problems
Cumulative microtarumas
Symptoms
Localized tenderness and pain
Decrease grip and pinch strength
Edema
Pain on radial side of the wrist
Ganglion
Special test for DQ syndrome
Fienkelstein
What does operation/surgery does in DQ syndrome
Release the 1st extensor compartment
Extensor Pollicis brevis subvision
Intersection syndrome
Crossover syndrome
Friction btn APL-EPB muscles and ECRB-ECRL tendons
2nd dorsal compartment
Symptoms of intersection syndrome
Pain and swelling 4cm proximal to wrist
Painful crepitation
Weak and painful grip and compression
Among athletes, weightlifter etc
Treatment/orthotics
Wrist thumb orthotics with forearm base
Depuytren contracture
A disease causing fingers to bend due to thickening and hardening of connective tissue layer… Palmar fascia
Causes of DC and its occurrence
Change in myofibroblast
Genetics
Males
50yrs
Ring finger
Common on McP joint
Can ccur together on Mcp and PiP
Nodule formed close to palmar distal line and ring finger
Proffered treatment and internations
Surgery is 1st goal
Only if contracture
With 30° mcp and 15 pip
Hypertension in Dip
Types of DC
Longitudinal incision=finger
Transverse incision= palmar fascia
Other name for Trigger finger
Stenosing tenosynovitis
About trigger finger
Restriction of movements
Feeling of locking in the finger
Flexor tendon stuck in their sheath
Hypertrophy in pulleys 1-3-5
FDS
One of the fingers MCP joint
Poor tendon vascularity between A1 abd A2 pulleys
Hour glass Restriction
Stage 1 of trigger finger
Pre-trigger period
