Musculotendinous Conditions (2)

Question 1

What are some treatment options for dequervains tenosynovitis?

Answer 1

Splinting

Laser

Mobs and nerve glides

Steroid injections or surgery

Question 2

What is dupuytrens contracture?

Answer 2

Flexion contracture of fingers from tightening of palmar fascia

Question 3

What are the clinical findings of dupuytrens contracture?

Answer 3

Thickened cords of palmar fascia

Joint contractures of MCP and PIP joints

4th and 5th digits most commonly affected

Question 4

When is surgery indicated in dupuytrens contracture?

Answer 4

When MCP contracture reaches 30°

Question 5

What are non operative treatments for dupuytrens contracture?

Answer 5

Radiotherapy

Percutaneous needle aponeurontomy

Collagenese enzymatic fasciotomy

Question 6

What are the operative treatments for dupuytrens contracture?

Answer 6

Fasciotomy

Fasciectomy

Skin graft

Question 7

What is trigger finger?

Answer 7

Inflammation at A1 pulley (MCP) which impairs gliding

Question 8

What are non operative treatments for trigger finger?

Answer 8

Corticosteroid injections

Question 9

What are operative treatments for trigger finger?

Answer 9

Open A1 pulley release

Percutaneous pulley release

Question 10

What are presentations in someone with trigger finger?

Answer 10

Stiffness, pain, and intermittent locking

Possible thickening or palpable nodule proximal to A1 (females in 40s)