hand stuff

Question 1

De Quervains tenosynovitis

Answer 1

swelling + inflammtion of tendon sheaths in wrist

repitive strain injury - pain on radial side of wrist

Question 2

which tendons are primarily affected in De Quervains tenosynovitis

Answer 2

Abductor pollics longus

extensor pollicis brevis

Question 3

De Quervains tenosynovitis presentation

Answer 3

sx at radial aspect of wrist near the base of thumb

abduction aggaint resistance is painful

• pain - can radiate to forearm
• aching
• burning
• weakness

Question 4

which test is specific for De Quervains tenosynovitis

Answer 4

Finkelsteins
- fist with thumb inside
- wrist adducted/ulnar deviated

if pain on radial aspect = De Quervains tenosynovitis

Question 5

De Quervains tenosynovitis management

Answer 5

analgesia
steroid injection
immobilisation with a thumb splint (spica) may be effective

surgical treatment is sometimes required

Question 6

Dupuytren’s contracture causes

Answer 6

manual labour
phenytoin tx
alcoholic liver disease
diabetes mellitus
trauma to hand

Question 7

Dupuytren’s contracture features

Answer 7

ring + little finger

60-70% have fam hx

Question 8

when should surgical management be considered in Dupuytren’s contracture

Answer 8

when the metacarpophalangeal joints cannot be straightened and thus the hand cannot be placed flat on the table

• -> fasciectomy
• cx = neurovascular damage

commonly recur