MSRA: Hand Problems Flashcards
1
Q
What is the presentation of trigger finger?
A
Stenosing tenosynovitis at PIPJ commonly the ring finger
Limits tendon movement over one another, finger locks and clicks
A nodule may be felt at the base of the affected finger
2
Q
What is the presentation of Dupuytren’s contracture?
A
Fixed flexion of fourth and fifth digits (MCPJs)
3
Q
What is meant by De Quervain’s tenosynovitis?
A
Pain over the styloid process of the radius
Finkelstein’s test
4
Q
Give four risk factors for Dupuytren’s contracture
A
Phenytoin Family history Alcoholic liver disease Diabetes Scandinavian
5
Q
What is the best course of action if scaphoid fracture is suspected but normal x-rays?
A
Repeat X-ray in 2 weeks
6
Q
What are the tests for carpal tunnel?
A
Tinel’s -tapping
Phalen’s - reverse prayer - flexion of wrist causes symptoms
