Hand + wrist Flashcards
(16 cards)
How do you treat carpal tunnel syndrome?
Splinting
Steroid injection
Ergonomic modifications
Surgery
Pregnancy = resolves after birth + only can use splint
How do you treat dupuytren’s contracture?
Splints to slow progression
Can try steroid injection or collagenase
Surgery if severe and interferes w/ function
How do you treat de quervain’s tenosynovitis?
Immobilize
2 week course of NSAIDS
Injection
Surgery
how do you treat a wrist ganglion?
Reassurance
Immobilization
Aspiration (recurrence)
Surgical excision
How do you treat rheumatoid arthritis?
systemic treatment (enbrel, remicade), NSAIDs, splinting, injections, therapy, no cure
How do you treat osteoarthritis?
NSAIDS, splinting, surgery
How do you treat an ulnar collateral ligament tear?
Incomplete = splint
Complete = surgery
You treat bennett’s fracture with
surgery
How do you treat a scaphoid fracture?
Negative XR = thumb spica cast 1-2 weeks, then re-XR
Positive XR = thumb spica cast x 6 weeks
w/ evidence of healing, continue until healed
If widening/resorption, refer for surgery
How do you treat keinbock disease?
Immobilize + NSAIDs
How do you treat a trigger finger?
splinting/casting
Injection
surgery
How do you treat mallet finger?
Splint to keep DIP joint in extension for 6-8 weeks
Full time
How do you treat boutinerre deformity?
Splint PIP joint in extension
6 weeks for young
3 weeks for elderly
How do you treat a boxer’s fracture
Cast (ulnar gutter)
Surgery if displaced >40 degrees
How do you treat a colle or smith fracture?
reduction, cast, surgery
How do you treat animal bites?
Irrigation + debridement
Prophylaxis required in high risk bites + patients
All cats
Hand bites by animals or human
amox/clav
Tetanus, rabies prophylaxis
Admit all infected + bites + deep bites
