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Flashcards in Hand Deck (27):
1

What are important factors to consider when a hand injury has occurred?

Handedness
DM
Arthritis
Occupation
Hobbies e.g. instruments

2

What details of the injury needs to be accounted for?

Crush, burn, sharp injury
Gloves?
Timing of injury
Energy level of injury

3

What symptoms need to be noted?

How painful
Muscle weakness?
Loss of sensation

4

What factors about the wound needs to be noted?

Where
How long
How deep
Dirty/clean
Skin loss
What structures are evident

5

What is a subungual haematoma?

Bleeding under the nailbed

6

Describe the zones in a nailbed injury

Zone 1 - to middle of nail
Zone 2- to under nailbed
Zone 3- between nailbed and DIP
Zone 4- at DIP

7

What is eschar?

Thick, leathery, inelastic skin which forms after burns.

8

What is a mucous cyst?

Outpouching of synovial fluid

9

What does a mucous cyst look like?

A blister.
May be painful, may fluctuate or discharge, may deform nail

10

What is a ganglion?

Outpouching of synovial cavity

11

Where are ganglions mostly found?

At synovial joints

12

What is in a ganglion?

Synovial fluid

13

If a ganglion needs to be treated, how can this be done?

Aspiration
Excision

14

What is trigger finger?

Tendonitis which gets caught on A1 pulley and causes sticking

15

What does A in A1 pulley mean?

Annular

16

Where do tendons run on the finger?

Within the flexor tendon sheath

17

What is the management for trigger finger?

Often conservative with splint
Steroid and LA injection
Surgery to divide A1 pulley

18

What is DeQuervain's tenosynovitis?

Inflammed tendons, running through their sheaths

19

Which muscles are involved in DeQuervain's tenosynovitis?

Abductor pollicis brevis
Adbuctor pollicis longus

20

What is Finklestein's test?

For DeQuervain's.
Put thumb inside fist and shake. Causes pain

21

What is the management for DeQuervain's syndrome?

NSAIDs
Splint
rest
Steroid

22

What is Dupuytren's contracture?

Thickening and contracture of the subdermal fascia, leading to cords which cause fixed flexion deformities

23

What are possible linkages with Dupuytrens?

DM
Cirrhosis
Smoking
Carbamazapine

24

What is the table top test?

If can put fingers flat on the table then ok if not then surgery

25

Where do skin grafts come from for hand skin?

Medial upper arm.

26

What is paronychia?

Infection within nail fold

27

How does a flexor tendon sheath infection present?

Highly painful, erythematous, following tendon to a finger, possible lymphangitis