Hand/Wrist Flashcards
• Atari Thumb • Joy-stick thumb • Fighter pilots thumb • Mother’s thumb • Washwomen’s thumb - texting thumb
De Quervain’s syndrome
pain lingers after use, maybe worse the next day, constant pain
-itis
pain under load
-osis
• Overuse of the thumb
• Eccentric lowering of the wrist into ulnar
deviation with a load being held in the hand.
• “Wringing” motions
De Quervain’s syndrome
T/F: De Quervain’s syndrome
Females > Males
TRUE
Resisted thumb extension with the wrist in
maximun radial deviation.
Finkelstein test
+ for De Quervain’s syndrome
- itis w/ De Quervain’s syndrome
immobilize, graston, laser, ice, deflame supps
- osis w/ De Quervain’s syndrome
progressive load of the tendon, eccentrically preferred, produce/ no worse
Tenosynovitis of the radial wrist extensors
AKA “Squeaker” syndrome
• d/t odd squeak-like crepitus
• “wet leather” crepitus on motion
Intersection syndrome
Essentially the same as De Quervain’s, but applied to the appropriate tissues.
Often seen in athletes:
• Weightlifters
• Tennis players
• Skiers (Pole use)
Intersection syndrome
near joints are connected to the joint and the leading theory is that a type of
check valve forms that allows fluid out of the joint, but not back in
contains clear fluid similar to, but thicker than, normal synovial fluid
Ganglion Cyst
ganglion cyst: out-pouching from carpal synovium, bursa or tendon sheath (65% are over the ________)
scapholunate ligament)
tx of ganglion cysts
aggressive soft tissue
Genetic condition causing
contracture of the deep
fascia of the hand.
Dupuytren’s Disease
M>F, ages 40-60, ULNAR side of the hand more commonly affected • Associated with Northern European ancestry, chronic alcoholism, DM, epilepsy and chronic pulmonary disease.
Dupuytren’s Disease
