Week 5 (2) Flashcards
What is an outpouching of synovial fluid from DIP joints in OA?
Mucous cyst
What might a mucous cyst deform?
A nail and cause ridging
What hand condition is an outpouching of a synovial cavity, usually painless and usually resolves with time?
Ganglions
In trigger finger where do tendons run within?
Flexor tendon sheath
In trigger finger what does the tendon get caught up on?
A1 pulley
What common hand condition is spontaneous, painful, swollen and can be looked for with Finklestein’s test?
DeQuervains
How is DeQuervains managed?
NSAIDs
Splint
Rest
Steroid injection + surgery
What does dupuytrens contracture start as?
Palmar pit/nodule
What test can be used to examine Dupuytrens contracture?
Table-top test
What is paronychia?
Infection within nail fold often in children
Name a hand condition which is a surgical emergency?
Flexor tendon sheath infection
Give three clinical features of flexor tendon sheath infection?
- Extremely painful
- Limited extension
- May have tracking lymphangitis
Name a finger tip injury?
Subungual haematoma
What hand fracture is mimimal displacement, no rotation, more distal and is treated with early mobilisation and a buddy strap?
Boxers fracture
In burns - what is eschar?
Thick, leathery, inelastic skin that forms after burns
What is the term for chronic tendon injury with damage to a tendon at cellular level?
Tendonosis
WHat is tenosynovitis?
Inflammation of the tendon sheath
What is 90% of a tendon?
Collagen
With what two tendon injuries would you use steroid injections for treatment?
Rotator cuff and tennis elbow
What tendon injury would splinting be used on?
Achilles tendon
What might athletes (throwing events) and painters suffer from?
Rotator cuff pathology
What is the gold standard imaging of the rotator cuff?
Ultrasound
What does a popeye sign and extensive bruising of the arm suggest?
Biceps rupture
What is another term for lateral epicondylitis?
Tennis elbow
What test is positive in tennis elbow?
Mills test
What is another term for medial epicpndylitis/
Golfers elbow
What originates at the lateral epicondyle?
forearm extensors
What originates at the medial epicondyle?
Forearm flexors
What does De Quervain’s tenosynovitis affect?
First compartment of thumb - APL and EPB
hOW IS dE qUERVAINS TENOSYNOVITIS diagnosed and investigated?
Finklestein’s test
USS and x-ray
What is another name for traction apophysitis?
Osgood schlatter’s
Where does osgood schaltter’s disease occur and in who?
Insertion of patellar tendon into anterior tibial tuberosity, adolescent active boys
What test is positive for calcaneal tendon rupture?
Simmonds
