MIDTERMS: UE disorders Flashcards
Q: What is the common name for medial epicondylitis?
A: Golfer’s elbow
Q: What is the pathology of medial epicondylitis?
A: Degeneration of the flexor tendons at the medial epicondyle
Q: What is Madelung’s deformity?
A: A congenital deformity with underdevelopment of the ulnar portion of the radial growth plate
Q: What age group and sex are most affected by Madelung’s deformity?
A: Females aged 6–13 years
Q: What treatment options are available for medial epicondylitis?
A: Corticosteroids, PRP therapy, anesthesia, shockwave treatment
Q: What are key radiographic findings in Madelung’s deformity?
A: Increased palmar and ulnar inclination of the radius, wide interosseous space, wedging of carpal bones
Q: What is congenital radioulnar dysostosis?
A: Fusion of the proximal radius and ulna, leading to limited pronation and extension
Q: What special test is associated with Kienböck’s disease?
A: Passive extension of the middle finger (D3) causing pain
Q: What is Kienböck’s disease?
A: Avascular necrosis of the lunate (lunatomalacia)
Q: Which tendons are affected in De Quervain’s disease?
A: Abductor pollicis longus (APL) and extensor pollicis brevis (EPB)
Q: What is Preiser’s disease?
A: Avascular necrosis of the scaphoid
Q: What special test is used to diagnose De Quervain’s disease?
A: Finkelstein’s test
Q: What is intrinsic hand plus deformity?
A: Flexion of MCP joints with hyperextension of PIP joints due to lumbrical and interossei muscle contraction
Q: What is the main pathology of Gamekeeper’s thumb?
A: Rupture of the ulnar collateral ligament (UCL) of the first MCP joint
Q: What condition is also known as “Oarsman’s wrist” or “Crossover syndrome”?
A: Intersection syndrome
Q: What is the treatment for trigger finger?
A: Immobilization, steroid injections, surgical resection if severe
Q: What is the common location for a ganglion cyst?
A: Dorsum of the wrist (radial side)
Q: What is the pathology of trigger finger?
A: Stenosis of the flexor tendon sheath at the A1 pulley
Q: What is the difference between Boutonniere and Swan neck deformity?
Boutonniere: PIP flexion, DIP extension
Swan neck: PIP hyperextension, DIP flexion
Q: What is Dupuytren’s contracture?
A: Progressive fibrosis of the palmar fascia leading to contracture
Q: What is the pathology of claw hand?
A: Intrinsic minus deformity (MCP hyperextension, IP flexion)
Q: What is the pathology of mallet finger?
A: Rupture of the extensor tendon at the DIP joint
Q: What are Heberden’s and Bouchard’s nodes associated with?
Osteoarthritis (OA)
Heberden’s: DIP joint
Bouchard’s: PIP joint
Q: What inflammatory myopathies cause proximal muscle weakness?
A: Dermatomyositis and Polymyositis
Q: What is congenital club hand?
A: Partial or complete absence of the radius or ulna, leading to radial/ulnar deviation of the hand
Q: What is the most commonly affected joint in osteoarthritis of the hand?
A: First carpometacarpal (CMC) joint
Q: What rash is characteristic of Dermatomyositis?
A: Heliotrope rash (periorbital discoloration) and Gottron’s papules (over MCP/PIP joints)
Q: What is the first-line pharmacologic treatment for osteoarthritis?
Acetaminophen
Q: What is the key pathology of rheumatoid arthritis (RA)?
A: Autoimmune synovitis leading to joint destruction
Q: What are the characteristic deformities in rheumatoid arthritis?
A: Swan neck, Boutonniere, and ulnar drift
Q: What orthosis is commonly prescribed for RA?
A: Resting hand splint
