wrist and hand ailments Flashcards
nail plate is thinner and weaker as a result of a severe fungus infection
spoon nail aka kiolonychia
natural convexity becomes concavity
kiolonychia aka spoon nail
due to either a pulmonary or cardiovascular disease
clubbed nails
colles’ fracture aka
dinner fork fracture
fracture of the radius with in 20-35 mm of the wrist joint with posterior angulation of the distal fragment
dinner fork fracture
fracture of the radius within 20-25 mm of the wrist joint with anterior angulation of the distal fragments
Smith’s fracture
Fracture of the fourth or fifth metacarpal neck with anterior displacement of the head
Bar room fracture
Bennett’s fracture
fracture through base of first metacarpal neck with dorsal and radial displacement of the shaft
fracture of the second or third metacarpal neck with anterior displacement of the head
Boxer’s fracture
Avascular necrosis of carpal lunate
Keinboch’s disease
Keinboch’s disease is most commonly found in males between the ages of _____ and is usually _____
20-40, unilateral
____ ulnar bone is found in __% of Keinboch’s disease
short, 75%
replace lunate with plastic implant as well as reduce hand trauma is treatment for
Keinboch’s disease
Increased lunate density, localized and radiating wrist pain with swelling and disability
keinboch’s disease
2 muscles in De Quervain’s disease
abductor pollicus longus
extensor pollicus brevis
overuse repititious ulnar and radial deviation of the wrist
stenosing tenosynovitis aka De Quervain’s disease
De Quervain’s disease treatment
rest
small painless nodule in palmar aponeurosis, palpation reveals a hard cord over the flexor tendon, passive extension makes it taught
dupuytren’s contracture
trigger finger
flxn feels normal: but re-extension is accompanied by a painful snap that can be refered to dorsum of the hand
avulsion of the flexor digitorum profundus tendon.
jersey finger
terminal phalanx of the finger is permanently flexed at distal joint: cannot be voluntarily extended
Mallet finger
rupture of the extensor tendon that inserts on the terminal phalanx and or possible fracture of distal phalanx
Mallet finger
women is usually multiple and due to heredity @ metapausal age
men seem to have only one and usually due to trauma
Heberden’s nodes
nodules are painless and do not limit motion
herberden’s nodes
inflammation of terminal finger pad and is confined by tough fascia, dull pain gradually becomes throbbing with intense tenderness. presence of puss and may become osteomyelitis
felon
subungal abscess between nail plate and periosteum. palpation provokes pain skin over mantle of nail swollen reddened and painful.
Paronychia aka hangnail