Wrist/Hand Pathology - Ganglion Cyst + Dupuytren's Contracture

Question 1

GC
Soft tissue ? filled with a degenerative ? fluid that stems from an underlying joint ?, ligament or tendon ?.
The patient will complain of a ? in the hand or wrist, with ? concerns or associated pain.
The majority of patients are women ages 20-?, and they can be idiopathic or
follow ?.

Answer 1

swelling
myxoid
capsule
sheath
lump
cosmetic
20-40
trauma

Question 2

GC
LOOK: The most common sites are on the dorsum of the wrist (? joint), volar aspect of the wrist (? joint), at the ? of the finger from the ? sheath (? ganglion) or at the DIPJ (? cyst).

Answer 2

scapholunate joint
scaphotrapezial joint
base
flexor
seed
mucous

Question 3

GC
FEEL: they may be ? or ? , but are ? fixed to the skin.
o MOVE: they may become more obvious with joint ? or limit ???.
o TEST: will ?.

Answer 3

soft
hard
never
movements
ROM
transilluminate

Question 4

GC
o Conservative: ? and reassurance. ? +/- steroid injections have a ?% success rate.
o Surgical: ? leads to a 40% recurrence rate.

Answer 4

NSAIDs
aspiration
40
excision

Question 5

DC
? painless thickening of the ? fascia, causing ? deformities of fingers and ? difficulties.
More common in ?, Nordics & those with a family history, and may be linked to trauma, ?, ?ism, ? (a drug) or liver ?

Answer 5

progressive
palmar
flexion
functional
men
DM
alcohol
phenytoin
cirrhosis

Question 6

DC
On examination;
0 LOOK: ?/? in the palm or fingers, with ? of MCP / PIP joints, classically affecting ?and ? fingers.
0 FEEL: ? palmar fascia, ‘?’ pads on the ? of PIPJs.

Answer 6

cords/nodules
flexion
ring
middle
thickened
garrods
dorsum

Question 7

DC
0 MOVE: loss of ? and passive ? of involved joints.
0 TEST: ? specific.

Answer 7

active
extension
none

Question 8

DC
Management;
0 conservative: no specific treatment is required if the patient has no ? impairment.

o Surgical: needle ?, ? fasciotomy, fasciotomy,
fasciectomy or ?.

Answer 8

functional
aponeurotomy
enzymatic
dermofasciectomy