Hand and wrist 2

Question 1

What does TFCC stand for?

Answer 1

Triangular Fibocartilage Complex

Question 2

What is the fibrocartilage meniscus supported by?

Answer 2

A meniscal “homologue” meaning a double or duplicate or sling or leash

Question 3

Image of TFCC

Answer 3

green=fibrocartlage and purple=homolouge

Question 4

DeQuervains Disease: what compartment, what tendons and how does it occur

Answer 4

1st compartment, APL+EPB, repetitive strain

Question 5

Shat triggers/restricts movement during DeQuervains>

Answer 5

Retinacualr stnosis

Question 6

In the first compartment, is there a 1st compartment septum? Multiple tendon slips?

Answer 6

Yes, yes

Question 7

What are some of the common side effects of injection to DE Quervains?

Answer 7

see pic (pain/discoloration)

Question 8

Image: crossover syndrome

Answer 8

note the tenosynovitis

Question 9

What is a boxer knuckle

Answer 9

tramatic injury of sagittal bands.

Question 10

How can you illicit ECU snapping?

Answer 10

Dynamic testing of forearm supination with hand extension

Question 11

How large should the gap be for scapholunate instability

Answer 11

> 3 mm

Question 12

What is Hammer Syndrome

Answer 12

Pain/numbness from ulnar nerve compression on hamate. Postive Allens test

Question 13

Are there median nerve variants?

Answer 13

Yes, yes

Question 14

What level is the deep motor nerve located at guynon canal?

Answer 14

level of the hamate

Question 15

Pully Disease thickening what level is climbers finer and trigger finger

Answer 15

Climbers finger=A2 Trigger finger=A1

Question 16

Image A1 Pully Disease Ruture

Answer 16

You can see the bowstrining on the fingers if disruted. See gap at volar plate

Question 17

What are the 3 phases of proliferative duputrynens contracture

Answer 17

see pic

Question 18

Image of Dupuytrens contracture

Answer 18

see image

Question 19

Is a RA nodule Mobile Non compressible

Answer 19

Yes, yes

Question 20

Where is a dorsal ganglion cyst locate and is it compressible

Answer 20

yes, and an anechoic sac. Usually arises of the dorsum of a carpal joint

Question 21

What does a Ganglion Cyst in Guyons canal have along with a Schwannoma of ulnar nerve

Answer 21

GC=Anechoic and compressible with no color doppler signal and S=color doppler signal and solid isoechoic sturcture, benign

Question 22

Characteristics of a Lipoma and Giant Cell Tumor

Answer 22

Lipoma=no color signal, iso echoic compressible, Giant cell tumor=+ color signal, hyperechoic and compressible, benign tendo turmor and similar to PVNS

Question 23

Scapho-Lunate Radiographic Findings

Answer 23

Question 24

Carpal Metacarpal/ CMC Arthrosis-Image

Answer 24

Question 25

Image: Mass Evaluation

Answer 25

Question 26

Image: Stener Lesion & Gamekeeper's/Skiers Thumb

Answer 26

Question 27

Image: OA

Answer 27

Question 28

Image: RA

Answer 28

Question 29

Image: TFCC

Answer 29

Question 30

Image: flexor tendon pully system

Answer 30

Question 31

Image: Thumb anatomy

Answer 31

Question 32

Image: synovial thickness assessment

Answer 32

Question 33

Is a RA nodule Mobile Non compressible

Answer 33

Question 34

Origin of FCU

Answer 34

Question 35

Origin of the FCR

Answer 35

Question 36

Pully Disease thickening what level is climbers finer and trigger finger

Answer 36

Question 37

What are the 3 phases of proliferative duputrynens contracture

Answer 37

Question 38

What does a Ganglion Cyst in Guyons canal have along with a Schwannoma of ulnar nerve

Answer 38

Question 39

What level is the deep motor nerve located at guynon canal

Answer 39

Question 40

Where is a dorsal ganglion cyst located and is it compressible

Answer 40