MSK 4 Flashcards
giant cell tumour of tendon sheath is what
symptoms
treatment
localised commoner than diffuse
fim discrete swelling usually on volar aspect of digits. can occur on toes, may be tender
if no functional problem leave alone. surgical excision - can reoccur
ganglion cyst in who what is it hands knees symptoms treatment
F>M
microcalcified cyst found adjacent to a tendon on a synovial joint
mucous cyst
bakers
localised pain/irritation. smooth. firm. rubbery. transluminate
osteoartheritis of hands what is more common in who symptoms PIP DIP mild/mod treatment severe treatment
DIP OA common in menopause women
painful, swollen, tender, squaring of thumb, ganglion cyst
bouchards in PIP
DIP herbends
removal of osteophytes and excision of cyst
arthrodesis (fusion)
RA of hands in what
symptoms
treatmen
in long standing disease volt MCPJ subluxation. ulnar deviation. swan neck deformity E, F bouteners deformity bouchards. z shaped thumb tenosynectomy. soft tissue repair
what is trigger finger who causes symptoms what can happen treatment
tendonitis of flexor tendon leading to nodular enlargement of tendon
F>M
idiopathic, RA, DM
movement of finger - clicking sensation - may be painful. finger may be locked in flexed position
steroid injections around tendon in sheath
surgery if recurrent/persistant
what dyuptytons who and where causes risk factors for it symp treatments can what
thickening of palmer fascia. collagen 1 to 3
50% bilateral. men. FH
manual labour. phenytoin treatment. alcoholic liver disease. trauma
DM, alcohol, cirrhosis
palpable nodule may be present ring and little finger
fasciectomy/fasciotomy
dermafasciectomy and graft
collagenase injection
can reoccur
carpal tunnel syndrome causes
investigations
treatment
idiopathic. RA. pregnancy, DM CRF hyperthyroidism codex fracture lunate fracture
tinnels. phalens. EEP.
lifestyle - avoid repetitive movements. splint for night
steroid injection. decompression surgery
polymyositis CK level cause cells what type of infiltration what type of necrosis
20-30 times BL AI chronic CD4 and CD8 lymphocytic segmental fibre
dermatomyosists is what
cells
immune complex and complement deposition within capillaries in muscles
B and T cells
muscular dystrophies CK
DMD genetic
what is happening in it
BMD
200-300 times BL
x linked
uncontrolled calcium entry into cells - apoptotic pathway triggered
later onset and slower progression
myotonic dystrophy genetic
symptoms
who and where
ADOM
muscle weakness myotonia cataracts decreased IQ
20-30yo
face, limbs, later respiratory muscles
neurogenic muscle disease CK
myasthenia graves who. 25% what
symptoms
2-5 times BL
AI. females. 20-40yo
thymoma, hyperplasia
weakness, proptosis, fatigue, dysphagia
polyarteritis nodusa is what
symptoms
ix
inflammation and fibrinoid necrosis of small/medium vessels
non specific
organ specific
pANCA
biopsy shows fibrinoid necrosis of vessels
