Hand + Wrist Conditions Flashcards
What is a FOOSH?
Fall on out stretch hand
What is the mechanism of a scaphoid fracture?
FOOSH
What are the symptoms of a scaphoid fracture?
Pain in anatomical snuffbox
Swelling
What part of the scaphoid is commonly fractured?
Scaphoid waist
What is a potential complication of a scaphoid fracture?
Avascular necrosis due to retrograde blood supply
What is a Colles fracture?
Extra-articular fracture of distal radius with dorsal angulation
What is the mechanism for a Colles fracture?
FOOSH - pronated forearm + dorsiflexed wrist
What is a Smith fracture?
Extra-articular fracture of distal radius with ventral angulation
What is the mechanism for a Smith fracture?
Fall onto a flexed wrsit
What are x-ray features for rheumatoid arthritis?
Loss of joint space
Soft tissue swelling
Bony erosions
Subluxation
What is a swan neck deformity?
PIPJ hyperextended
MCPJ flexed
DIPIJ flexed
What is a boutoniere deformity?
PIPJ flexed
MCPJ hyperextended
DIPJ hyperextended
What are Heberden’s nodes?
OA nodes at the DIPJ
What are Bouchard;s nodes?
OA nodes at the PIPJ
What is carpal tunnel syndrome?
Compression of the median nerve in the carpal tunnel
What are risk factors for carpal tunnel syndrome?
Obesity Repetitive wrist work Pregnancy RA Hypothyroidism
What are the symptoms of carpal tunnel syndrome?
Parasaethesia in the median nerve distribution
What are the tests for carpal tunnel?
Tinnel’s test
Phalen’s test
What is Dupuytren’s contracture?
Localised thickening and contracture of palmar aponeurosis
What are risk factors for developing Dupuytren’s contracture?
T1DM
Liver disease
Smoking
