Wrist/Hand Pathology - Trigger Finger + Base of Thumb OA Flashcards
TF
Idiopathic ? of the ? tunnel leading to an ? nodule
that interrupts normal finger movement.
Usually involves the ?/? finger, and the patient complains that the finger gets stuck in ?, then on further effort (can involve using the other
hand) can snap into ?.
fibrosis flexor intratendinous middle/ring flexion extension
TF
In severe cases the finger will be ? locked.
It occurs most commonly in ? over ?.
Risk factors are ?? and ??.
permanently women 40 RA DM
TF
o LOOK: Potential ? at the PIPJ / ????.
o FEEL: can feel the triggering of the ? ? by placing your finger in the ? and asking the patient to ? the finger. A ? is
also often felt at the base of the finger.
flexion DIPJ flexor tendons palm flex nodule
TF
o MOVE: ? and ? active flexion / extension, full extension may be ? due to secondary ? problems.
o TEST: n/a
hesitant
jerky
limited
joint
TF
o Conservative: It usually resolves ? with;
• ? modification.
• ?s.
• ? ? corticosteroid injection.
o Surgical: release of the ?? ?, or ? in RA patients
spont activity NSAID tendon sheath A1 pulley tenosynovectomy
Base of thumb OA
Patients present with pain on activities involving ?/?, with ?, deformity and ? at the ???J.
gripping/pinching
swelling
tenderness
CMC
Base of thumb OA
o LOOK: Positive ‘? sign’, with base of thumb ? and wasting of the ? muscles.
o FEEL: May be pain / ? in the joint, also reduced ?bulk.
shoulder swelling thenar warmth thenar
Base of thumb OA
o MOVE: Global pain/? of ???J movements - ?, palmar / ? abduction and ?.
stiffness CMC adduction radial opposition
Base of thumb OA
o Conservative: as for any OA patient.
o Surgical: ?, ?ectomy, ?thumb ? or
joint ?.
denervation trapeziectomy basal arthroplasty fusion
Tuck Sign: due to inflamed ? sheaths pressed up against the flexor ?, should disappear on ?. Characteristic of ?tenosynovitis
synovial
retinaculum
flexion
extensor
