Hand + Wrist Conditions Flashcards

1
Q

What is a FOOSH?

A

Fall on out stretch hand

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2
Q

What is the mechanism of a scaphoid fracture?

A

FOOSH

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3
Q

What are the symptoms of a scaphoid fracture?

A

Pain in anatomical snuffbox

Swelling

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4
Q

What part of the scaphoid is commonly fractured?

A

Scaphoid waist

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5
Q

What is a potential complication of a scaphoid fracture?

A

Avascular necrosis due to retrograde blood supply

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6
Q

What is a Colles fracture?

A

Extra-articular fracture of distal radius with dorsal angulation

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7
Q

What is the mechanism for a Colles fracture?

A

FOOSH - pronated forearm + dorsiflexed wrist

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8
Q

What is a Smith fracture?

A

Extra-articular fracture of distal radius with ventral angulation

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9
Q

What is the mechanism for a Smith fracture?

A

Fall onto a flexed wrsit

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10
Q

What are x-ray features for rheumatoid arthritis?

A

Loss of joint space
Soft tissue swelling
Bony erosions
Subluxation

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11
Q

What is a swan neck deformity?

A

PIPJ hyperextended
MCPJ flexed
DIPIJ flexed

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12
Q

What is a boutoniere deformity?

A

PIPJ flexed
MCPJ hyperextended
DIPJ hyperextended

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13
Q

What are Heberden’s nodes?

A

OA nodes at the DIPJ

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14
Q

What are Bouchard;s nodes?

A

OA nodes at the PIPJ

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15
Q

What is carpal tunnel syndrome?

A

Compression of the median nerve in the carpal tunnel

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16
Q

What are risk factors for carpal tunnel syndrome?

A
Obesity 
Repetitive wrist work 
Pregnancy 
RA
Hypothyroidism
17
Q

What are the symptoms of carpal tunnel syndrome?

A

Parasaethesia in the median nerve distribution

18
Q

What are the tests for carpal tunnel?

A

Tinnel’s test

Phalen’s test

19
Q

What is Dupuytren’s contracture?

A

Localised thickening and contracture of palmar aponeurosis

20
Q

What are risk factors for developing Dupuytren’s contracture?

A

T1DM
Liver disease
Smoking