Flashcards in 4- Upper Limb Conditions Deck (33)
What forms the carpal tunnel in the wrist?
Which clinically important nerve passes through the carpal tunnel?
How does carpal tunnel syndrome arise?
Swelling/synovitis in the tunnel causes median nerve compression
List aetiology + conditions assoc. with carpal tunnel syndrome
Pregnancy, diabetes, renal failure
Wrist fracture (Colles)
Women are more affected than men by carpal tunnel syndrome. True/False?
List clinical features of carpal tunnel syndrome
Parasthesiae in median-nerve-innervated fingers
What is Tinel's test?
Percussion over the median nerve
What is Phalen's test?
Hold wrist hyper-flexed (decreases space in carpal tunnel)
Describe surgical treatment of carpal tunnel syndrome
Division of transverse carpal ligament under local anaesthetic
Which nerve is compressed in cubital tunnel syndrome? Where?
Ulnar nerve, behind the medial epicondyle
What is the name of the tight band of fascia that forms the roof of the cubital tunnel?
The common extensor origin of the upper limb arises from which epicondyle?
Medial epicondyle for common flexor origin
What is the nickname for lateral epicondylitis?
What muscle origin is stressed in lateral epicondylitis?
Common extensor origin (resisted extension)
What is the nickname for medial epicondylitis?
What muscle origin is stressed in medial epicondylitis?
Common flexor origin
Lateral epicondylitis is more common than medial epicondylitis. True/False?
(becos more people play tennis lol)
What is Dupuytren's disease?
Hyperplasia of palmar fascia, forming nodules and cords causing contractures of MCP and PIP joints
Which type of collagen is produced in Dupuytren's disease?
Which fingers are usually affected by contracture in Dupuytren's disease?
Males are more affected by Dupuytren's than females. True/False?
Up to how many degrees of Dupuytren's contracture at the MCP joint can be tolerated before surgery is recommended?
What surgical procedures are done for Dupuytren's disease?
What is trigger finger?
Clicking/locking of finger in flexed position
How does trigger finger arise?
Tendonitis of flexor tendon causes nodular enlargement which catches in fascia over metacarpal
Outline treatment of trigger finger
Which joints in the hand are usually affected by OA?
What are Heberden's nodes? Which joints do they affect?
Bony thickening in the hands
What are Bouchard's nodes? Which joints do they affect?
Bony swellings in the hands