Orthopaedic Problems of the Hand Flashcards
what is dupuytrens disease
contracture which is when one or more fingers become bent in a flexed position
what is the cause of dupuytrens
autosomal dominant
sporadic
alcohol? HIV?
what is the treatment for dupuytrens disease
surgery-partial fasicectomy
dermo-fasciectomy
amputation
what is trigger finger
synovium becomes inflamed so finger cannot glide past each other
finger becomes stuck, can be popped into place with force
can present with clicking
what is the treatment for tigger finger
splint age, steroid
percutaneous release
what is de quervians tenveginitis
localised pain on radial side of the wrist-affects the thumb
what is carpel tunnel syndrome
pressure on the median nerve in the wrist
what are the clinical features of carpel tunnel syndrome
weakeness
tingling
numbness
usually on thumb side
how is carpel tunnel treated
splint
corticosteroid injections
what is cubital tunnel syndrome
pressure and stretching of the ulnar nerve at the elbow
usually on pinky side
what is a ganglion
a myxoid degenerative from the joint synovial. it arises from the joint capsule
what does it present as
a lump in the joint, usually wrist
lump
smooth and firm
how to treat a ganglion
reassure
aspiration
excision including the root
