MSK swelling: Hands Flashcards
describe what Bouchard’s and Heberden’s nodes are
they are bony swellings of the interphalangeal joints(IPJ) of the fingers
what are Bouchard’s and Heberden’s nodes caused by
bony spurs due to chronic trauma
which one of Bouchard’s or Heberden’s is more commone
Heberden’s
state which one of Bouchard’s and Heberden’s is found at the proximal or distal
Bouchard's = proximal Heberden's = distal
what conditions is Bouchard’s and Heberden’s nodes associated with
Bouchard's = OA and RA Heberden's = OA
briefly describe what dupuytren’s disease is
progressive disease resulting in digital flexure contractions
describe the pathology seen in dupuytren’s disease
excessive myofibroblast proliferation and altered collagen matrix composition lead to thickened and contracted plantar fascia
what genetic predispositions are there to dupuytren’s disease
autosomal dominant with variable penetrance, common in northern europe, men > women
what environmental factors are associated with dupuytren’s disease
alcohol, diabetes, trauma
what ca be used in the management of dupytren’s disease, in order of least to most severe
needle fasciotomy, collaginase injection, limited fasciotomy, dermofasciotomy+graft
what is the severity of dupuytren’s treatment based on
the degree of functional impediment
what are the 2 different types of giant cell tumour of the tendon in the hand
local(common), diffuse(uncommon)
describe what giant cell tumour of the tendon is
a benign regenerative hyperplasia with inflammatory process
what does giant cell tumour of the tendon present with
firm, discreet swelling, usually on volar aspect of fingers, +/- tenderness
where else, other than hands, can giant cell tumour of the tendon occur
the toes
