hands + wrists

Question 1

what is cubital tunnel syndrome

Answer 1

compression of Ulnar nerve as it passes through cUBital tunnel at elBow (osborne’s fascia)

Question 2

symptoms cubital tunnel

Answer 2

tingling + numbness over 4th + 5th // weakness + muscle wasting in abduction of fingers // claw hand

Question 3

examinations for cubital tunnel

Answer 3

tinel - percuss nerve imitates feeling // froment’s test (flexion if DIP in thumb)

Question 4

RF cubital tunnel

Answer 4

OA or trauma

Question 5

invx cubital tunnel

Answer 5

maybe nerve conduction

Question 6

mx cubital tunnel

Answer 6

rest, physio, steroid injection, surgery

Question 7

what ligament is in the carpal tunnel

Answer 7

flexor retinaculum

Question 8

symptoms carpal tunnel

Answer 8

pain or tingling in thumb, index, middle fingers // wasting of thenar muscles // weakness thumb abduction

Question 9

examination carpal tunnel

Answer 9

tinel test // phalens: flex wrist

Question 10

causes carpal tunnel

Answer 10

pregnancy, oedema (HF), RA, women

Question 11

invx carpal tunnel

Answer 11

motor + sensory nerve conduction –> prolonged AP

Question 12

mx carpal tunnel (mild –> severe)

Answer 12

6 weeks conservative treatment –> splint + steroid injection –> surgical flexor retinaculum division

Question 13

where do ganglion cysts usually form

Answer 13

dorsum of wrist

Question 14

symptoms ganglion cyst

Answer 14

firm, well circumscribed, transilluminates

Question 15

what is dupuytrens contracture

Answer 15

hypertrophy of palmar fascia –> contracted 4th + 5th finger

Question 16

causes dupuytrens contracture

Answer 16

alcohol, phenytion, labour, DM, men

Question 17

when is surgery for dupuytrens contracture indicated

Answer 17

joints cannot be straightened and hand cannot be laid flat

Question 18

surgery for dupuytrens contracture

Answer 18

fasciotomy

Question 19

what is trigger finger

Answer 19

abnormal flexion of digits // enlargement of fascia so it catches in pulley

Question 20

assoc trigger finger

Answer 20

women, RA, DM

Question 21

symptoms trigger finger

Answer 21

common in thumb, middle, or ring, stiffness, snapping when extending flexed digit // nodule

Question 22

mx trigger finger

Answer 22

steroid –> surgery

Question 23

what is DeQuervians + symptoms

Answer 23

inflammation of tendons that move the thumb // pain radial wrist + over radial styloid // abduction thumb sore // Finkelstein’s test +ive

Question 24

mx DeQuervains

Answer 24

NSAIDs, splint, steroid injection, surgery

Question 25

OA deformities of the hand

Answer 25

herbedens nodes (DIP) + bouchards (PIP)

Question 26

which hand joints are commonly affected by OA

Answer 26

DIP

Question 27

which hand joints are commonly affected by RA

Answer 27

MCP + (PIP)