Flashcards in Common hand conditions Deck (38):
What is a mucous cyst?
Outpouching of synovial fluid at distal interphalangeal joint
What causes mucous cysts?
How do mucous cysts present?
Deformed nail bed
How are mucous cysts managed?
Why might mucous cysts warrant an x-ray?
To determine extent of osteoarthritis
What are ganglions?
Outpouchings of the synovial cavity
Ganglions are most commonly found around the wrist for what reason?
The greater the number of synovial joints the greater the likelihood of synovial cavity outpouching
What are ganglions filled with?
How do ganglions present?
Painless +/- tightness
How are ganglions managed?
Why is surgical management avoided in the treatment of ganglions?
They come back
Are ganglions related to osteoarthritis?
Occasionally - most often not
What is allan's test used for?
To determine if the blood supply of the hand is intact
What is trigger finger?
Inflammation and swelling of the tendons running within the flexor tendon sheath causing catching on the pulleys
How does trigger finger present?
Pain over A1 pulley (metacarpal head)
Sticking of finger in flexion
+/- forced extension
What should be avoided in the management of trigger finger?
What should be found on the hand examination of someone with trigger finger?
Tenderness over A1 pulley
Palpable tendon nodule
How is trigger finger managed?
Conservatively (spontaneous resolution, splinting)
Steroid & local anaesthetic injection (curative)
Which compartment does DeQuervians tenosynovitis affect?
First extensor compartment
How does DeQuervians tenosynovitis present?
Painful radial wrist
What test will be positive in DeQuervians tenosynovitis?
Finkelstein's (ulnar deviation of the hand)
How is DeQuervians tenosynovitis managed?
Where is the pathology in Dupuytrens contracture?
How common is Dupuytrens contracture?
What is Dupuytrens contracture?
Thickening of palmar fascia causing fixed flexion deformity of the fingers
How does Dupuytrens contracture present?
Begins as palmar pit or nodule
What conditions are associated with Dupuytrens contracture?
What is Dupuytren's diathesis?
Tendency towards more aggressive disease i.e
What should be found on examination of someone with Dupuytren's disease?
MCP and/or DIP joint involvement
Positive table top test
How is Dupuytren's disease managed?
Conservative (stretching, activity modification)
Surgical (fasciotomy, amputation)
Dupuytren's contracture reoccurs after treatment. T/F
True - within several years
What is paronychia?
Infection within the nail fold
What is a risk factor for paronychia?
Which age range most commonly gets paronychia?
How is paronychia managed?
Excision and drainage of pus
How common is flexor tendon sheath infection?
Rare but surgical emergency
How does flexor tendon sheath infection present?
Tracking up palm and arm
Loss of movement (even passive) due to pain