T2 L8: Intro to surgery of the hand

Question 1

What is Dupuytren’s contracture?

Answer 1

A thickening of the fascia causing a contracture

Causes: genetic, smoking, alcohol, diabetes, epilepsy

Question 2

What causes ‘trigger finger’?

Answer 2

Repetitive movement that causes inflammation and restriction in movement

A nodule (bump) on the tendon can appear which causes contractures

Question 3

Which muscles make up the thenar group?

Answer 3

Adductor pollicis
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis

Question 4

What are some carpal tunnel signs?

Answer 4

Thenar wasting, loss of abduction, loss of opposition

Question 5

What is paradoxical wasting of the thenar muscles?

Answer 5

Caused by ulnar nerve compression

Causes interosseous muscles to go and cause collapse of the muscles above it

Question 6

What is de Qeurvain’s disease?

Answer 6

Affects the thumb tendons

Caused by degeneration, overuse, Ciprofloxacin, Anastrazole

Question 7

What is the acronym to remember the carpal bones?

Answer 7

Some lovers try positions that they can’t handle

Question 8

How does osteoarthritis appear on an x-ray?

Answer 8

There is loss of joint space and increased density of the bone

The bone will look irregular because osteocytes will cause cysts