Hands

Question 1

firm discreet swelling on volar aspect of digits. maybe be tender

Answer 1

giant call tumour of tendon sheath

Question 2

treatment of GCT of tendon sheath

Answer 2

leave alone of no functional issue

surgical excision - can reoccur

Question 3

ganglion cysts

Answer 3

smooth, firm and rubbery, transluminate
hands - mucous cyst
knee - bakers cyst

Question 4

what are trigger fingers

Answer 4

tendonitis of flexor tendon -> nodular enlargement of tendon

Question 5

symptoms of trigger fingers

Answer 5

clicking sensation
painful
finger may lock in flexed position -cant go back into extension

Question 6

treatment of trigger fingers

Answer 6

steroid injection around tendon within sheath

surgery if recurrent and persistent

Question 7

dupuytrens contracture what is it
who
where

Answer 7

thickened and contracted palmer fascia
DM. alcoholic cirrhosis
little and ring fingers - nodules may be present

Question 8

RA hands - describe

Answer 8

ulnar deviatoin 
MCPJ subluxation 
swan neck deformity E, F
boutonnieres deofrmity F, E
z shaped thumb
bouchards

Question 9

OA - hands

Answer 9

bouchanrds
herbends
dorsal ganglios cyst
squaring of thumb