Ortho problems of the hand

Question 1

differentials for all ortha hand problems

Answer 1

dupruytren’s disease

OA at the base of the thumb

ganglion

trigger finger

De quervian’s tenovaginitis

nerve entrapments (carpal tunnel/ cubital tunnel syndrome)

Question 2

functional problem of Drupruytren’s disease

Answer 2

(not usually painful)

loss of finger extension

hand in pocket

gripping things

washing face

Question 3

how do you treat Drupruytren’s disease?

whats the most common procedure?

Answer 3

observe (splints don’t work)

radiotherapy

partial (most common!) or dermo fasciectomy

amputation

percutaneous needle fasciectomy

collagenase

Question 4

fasciectomy

Answer 4

surgical removal of thickened tissue

Question 5

how do you diagnose trigger finger?

Answer 5

clicking sensation with movement of the digit

Question 6

OA of the base of the thumb - treat with:

Answer 6

trapeziectomy