Hand

Question 1

List the etiology of Carpal Tunnel Syndrome
Mnemonic: ICRAMPS

Answer 1

Mnemonic: ICRAMPS
I -> Idiopathic (common)
C -> Colles’s, Cushing’s
R -> Rheumatoid
A -> Acromegaly, Amyloids
M -> Myxedema, mass, (diabetes) mellitus
P -> Pregnancy
S -> Sarcoidosis, SLE

Question 2

List the clinical features of Carpal Tunnel Syndrome

Answer 2

• Pain and paresthesia at the lateral 3 1/2 fingers
• Worse at night
• Weakness of thumb abduction
• Phalen’s sign
• Tinel’s sign

Question 3

Define Swan neck deformity

Answer 3

• Hyper-extension of PIP
• Flexion of DIP

Question 4

Define Boutonniere and Z thumb

Answer 4

• Flexion of PIP
• Hyperextension of DIP