Wrist Conditions Flashcards
what is carpal tunnel
chronic compression of the median nerve by the transverse carpal ligament
who is more likely to develop carpal tunnel
women
name some conditions that can can predispose to carpal tunnel
RA, acromegaly, pregnancy, diabetes
what does the medial nerve supply
LOAF muscles
what are the loaf muscles
lumbricals 1+2
opponens pollicis
abductor pollicis brevis
flexor pollicis brevis
clinical presentation of carpal tunnel
pins + needles
sensory involvement to radial 3 1/2 fingers
pain worse at night
clinical signs of carpal tunnel
thenar atrophy
investigation of carpal tunnel
nerve conduction studies
conservative management of carpal tunnel
wrist splints at night to prevent flexion
corticosteroid injections
surgical management of carpal tunnel
division of the transverse carpal ligament under local anaesthetic
what is De Quervain’s Tenosynovitis
inflammation of the tendon sheaths within the first compartment
who usually presents with De Quervain’s Tenosynovitis
women 30-50
what is De Quervain’s Tenosynovitis associated with
pregnancy and RA
clinical presentation of De Quervain’s Tenosynovitis
repetitive strain injury with pain over the radial styloid process at the wrist
radiates to into the forearm
examination test for De Quervain’s Tenosynovitis
finklesteins test
what is finklesteins test
patient makes a fist over the thumb and the hand is ulnar deviated to reproduce pain
investigation of De Quervain’s Tenosynovitis
USS and x-ray to rule out OA
management of De Quervain’s Tenosynovitis
splint, rest, physio, analgesia
surgical decompression if needed
most frequently fractured carpal bone
scaphoid
mechanism of injury of a scaphoid fracture
FOOSH
clinical presentation of scaphoid fracture
pain and tenderness in the anatomical snuffbox
conservative management of scaphoid fractures
cast
operative management of scaphoid fractures
percutaneous screw fixation, ORIF
complications of scaphoid fractures
non-union, AVN, early wrist OA
