ortho- hand

Question 1

MofA trigger finger?

Answer 1

nodule on tendon over ‘A1’ pulley

Question 2

fingers affected trigger finger?

Answer 2

-thumb, middle + ring

rock and roll hand sign

Question 3

risk factors for trigger finger?

Answer 3

• RA

- majority idiopathic

Question 4

treatment trigger finger?

Answer 4

1st= steroid injection
-finger splint
3rd= surgery IF unresponsive to steroids

Question 5

MofA Dupuytren’s?

Answer 5

-thickened fascia of hand

Question 6

fingers affected dupuytrens?

Answer 6

pinkie + ring finger

Question 7

risk factors dupuytren’s?

Answer 7

• liver cirrhosis

- alcohol abuse

Question 8

treatment dupuytren’s?

Answer 8

Fasciotomy if:

• 30 degrees contracture at MCP joint
• PIP joint (always)

Question 9

what may a penetrating palm (volar) injury damage?

Answer 9

• flexor tendons
• digital nerves
• digital arteries

Question 10

what may a penetrating injury to the dorsal (back of hand) damage?

Answer 10

-extensor tendons

Question 11

investigations for scaphoid fracture?

Answer 11

Xray- both lateral + AP (80% sensitivity)

MRI- definitive

Question 12

treatment for undisplaced scaphoid fracture?

Answer 12

cast 6-8 weeks

Question 13

treatment for displaced fracture?

Answer 13

surgical fixation

Question 14

treatment for proximal scaphoid pole?

Answer 14

surgical fixation

Question 15

what is affected in Boxer’s fracture?

Answer 15

5th metacarpal

5-round MMA= 5th metacarpal

Question 16

treatment for Boxer’s fracture if punchee’s tooth penetrates puncher’s hand?

Answer 16

Co- amoxiclav + washed out in theatre

-strap to neighbouring finger

Question 17

what is affected in Bennett’s fracture?

Answer 17

1st metacarpal

Question 18

what causes Bennet’s fracture?

Answer 18

fist fights

Question 19

investigations for Bennett’s fracture?

Answer 19

Xray- will show a triangular fragment at ulner base of 1st metacarpal