hand/wrist

Question 1

most common peripheral nerve entrapment is called ________ and compresses which nerve?

Answer 1

CTS, median

Question 2

What are the risk fx’s for development of CTS?

Answer 2

repetitive use, pregnancy, DM, hypothyroid, RA

Question 3

What special tests help dx CTS?

Answer 3

Tinels, phalens, reverse phalens.

thenar wasting and NCV/EMG

Question 4

What are some conservative tx’s of CTS?

Answer 4

splint, NSAIDS, B12, CS injection, activity modification

Question 5

Commonly found soft tissue tumor of hand which is benign and treated with ______

Answer 5

Ganglion cyst, aspiration/sx/reassurance

Question 6

trigger finger is caused by irritation of the ________, which can cause the finger to catch or lock in flexion or extension.

Answer 6

tendon

Question 7

How do you tx trigger finger?

Answer 7

rest, splint, NSAID, injection, Sx

Question 8

Pain with thumb movement while in position of ulner deviation is indicative of ________ and can be tested using the ______________

Answer 8

dequervains tenosynovitis, finklestein’s

Question 9

How do you treat DeQuervains

Answer 9

ice, rest, injection, thumb spica split, sx release

Question 10

This is a dz of the palmar fascia due to fibromatosis nodules which restrict tendon movement

Answer 10

dupuytren’s contracture

Question 11

What type of fibroma occurs on the plantar side of the foot?

Answer 11

Ledderhose

Question 12

What type of fibroma occurs on the knuckle pads of the fingers?

Answer 12

Garrod’s pads

Question 13

What type of fibroma occurs on the penis causing a curvature?

Answer 13

Peyronies dz

Question 14

How do you tx fibromatous contractures?

Answer 14

excision or injection of collagenase

Question 15

What is typically the first joint to be affected by OA?

Answer 15

CMCJ, 1st digit

Question 16

What are some history questions you could ask to see if someone has CMCJ DJD?

Answer 16

Pain/grinding with wringing out a cloth, opening a jar

Question 17

How do you tx OA of the CMCJ?

Answer 17

splint, NSAIDS, injections, SUSPENSIONPLASTY

Question 18

this can lead to mucous cysts and nail deformities

Answer 18

DJD of DIP

Question 19

What is the definitive tx for DIP DJD?

Answer 19

joint fusion

Question 20

What will you use to tx bacterial paronychia?

Answer 20

Bactrim, clinda, soaks, I&D

Question 21

How will you tx fungal paronychia?

Answer 21

itraconazole or thymol

Question 22

Infection of the finger pulp

Answer 22

felon

Question 23

How do you tx felon?

Answer 23

I&D, watchful for OM (staph)

Question 24

4 Kanavel’s signs:

Answer 24

1) pain w/ passive extension
2) sausage
3) finger held in flexion
4) ttp of entire tendon sheath

Question 25

Kanavel's sign indicates __________

Answer 25

flexor tenosynovitis

Question 26

What is the term for a "jammed finger"? What do you need to watch for?

Answer 26

mallet finger, watch for subluxated fx fragments

Question 27

How do you tx mallet finger?

Answer 27

full time splint x 6 weeks sx if subluxated

Question 28

What is a complication of mallet finger?

Answer 28

swan neck deformity

Question 29

What pathogen is most common in a human bite? So what abx?

Answer 29

Eikenella, give PCN/Tetra/Cephalosporin

Question 30

What pathogen is most common in dogbite? What abx?

Answer 30

Pasturella, give Amox/Augmenting, Cipro

Question 31

what should you check if you suspect a phalangeal fx?

Answer 31

Rotational deformity (displacement)

Question 32

____________ is when the ulnar collateral ligament is torn or avulsed from the proximal phalanx of the thumb, when the thumb is forced back toward the forearm

Answer 32

gamekeeper's thumb

Question 33

How do you tx non-displaced gamekeeper's thumb?

Answer 33

Spica cast

Question 34

What is the term for when gamekeeper's thumb requires surgery due to avulsed bone fragment that is displaced?

Answer 34

Stener's Lesion

Question 35

Fracture of the 5th metacarpal neck is called ________ and tx is casting in the _________position.

Answer 35

Boxer's Fx, short arm ulnar gutter cast

Question 36

Worst case scenario, a scaphoid fx can lead to __________. Scaphoid fx's are common as a result of _________

Answer 36

avascular necrosis, FOOSH

Question 37

How do you treat scaphoid fx?

Answer 37

Thumb spica if non-displaced, ORIF if displaced. NEGATIVE XRAYS DON'T MEAN ANYTHING. Cast anyway and recheck xrays in 3 weeks.

Question 38

AVN of lunate is called:

Answer 38

Kienbocks Dz

Question 39

What is the most common Salter Harris fx?

Answer 39

II (also has best outcome)

Question 40

Salter Harris II

Answer 40

metaphysis

Question 41

Salter Harris IV

Answer 41

through

Question 42

SH V

Answer 42

crushed

Question 43

SH I

Answer 43

across growth plate

Question 44

SH III

Answer 44

epiphysis

Question 45

Which salter harris is missed the most and diagnosed as a sprain?

Answer 45

SH I

Question 46

What SH typically requires surgical intervention?

Answer 46

SH III, sometimes IV

Question 47

What's another term for a torus fx?

Answer 47

buckle

Question 48

Who gets buckle fractures and how?

Answer 48

FOOSHing kids

Question 49

This is a fx of the distal radius with dorsal displacement following FOOSH

Answer 49

Colles

Question 50

This is a fx of the distal radius from palmer flexion (carrying baby)

Answer 50

Smith (reverse FOOSH)

Question 51

How do you treat both Smith and colles fx's?

Answer 51

sugar tong splint