Musculoskeletal conditions and UE

Question 1

DeQuervain’s Syndrome

Answer 1

stenosing tenosynovitis of the Abductor Pollicis Longus and Extensor Pollicis Brevis

Question 2

symptoms of DeQuervain’s

Answer 2

pain and swelling over the radial styloid process, Positive Finklestein’s Test

Question 3

DeQuervain’s Tx

Answer 3

Thumb SPICA splint
activity and work modification
ice massage over the radial aspect of the wrist
gentle AROM of the wrist and thumb
Surgical: SPICA , AROM 0-2 weeks,

Question 4

Lateral Epicondylitis

Answer 4

degeneration of the tendon origin, overuse of extensors

Question 5

Medial Epicondylitis

Answer 5

degeneration of the tendon origin, overuse of flexors

Question 6

treatment for epicondylitis

Answer 6

elbow strap, wrist splint, ice and deep friction massage, stretching, activity and work modifications, add strengthening as pain allows

Question 7

Trigger Finger

Answer 7

tenosynovitis of finger flexors, often the A1 pulley
caused by repetition or tools too far apart

Question 8

Treatment for Trigger Finger

Answer 8

**trigger finger splint
MCP extended with IP joints free
scar massage
edema control
tendon gliding
activity and work modifications

Question 9

Tendon Repair Goals (flexion and extension)

Answer 9

increase tendon excursion
improve strength at the repair site
increase joint ROM
prevent adhesions