random Flashcards
1
Q
lichtman classification
A
Stage I - MRI changes - splint
Stage II - lunate sclerosis - radial shortening, capitate shortening, radial decompression or STT fusion
Stage IIIa - lunate collapse - no scaphoid rotation - as stage II
Stage IIIb - lunate collapse - scaphoid fixed -signet sign - AIN/ PIN, prox row carpectomy, STT fusion
Stage IV -AIN/ PIN, prox row carpectomy, STT fusion, wrist fusion
1
Q
what is a ganglion?
A
Definition
mucus filled cyst
no epithelial lining
Origin
commonly from scapholunate ligament
treatment
1. aspirate with 5ml syringe and white needle - correct pressure
2. remove stalk - 1 way valve - fluid can’t go back - make into 2 way value - window in capsule