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Flashcards in hand/wrist Deck (51):
1

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

CTS, median

2

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

repetitive use, pregnancy, DM, hypothyroid, RA

3

What special tests help dx CTS?

Tinels, phalens, reverse phalens.

thenar wasting and NCV/EMG

4

What are some conservative tx's of CTS?

splint, NSAIDS, B12, CS injection, activity modification

5

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

Ganglion cyst, aspiration/sx/reassurance

6

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

tendon

7

How do you tx trigger finger?

rest, splint, NSAID, injection, Sx

8

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

dequervains tenosynovitis, finklestein's

9

How do you treat DeQuervains

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

10

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

dupuytren's contracture

11

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

Ledderhose

12

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

Garrod's pads

13

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

Peyronies dz

14

How do you tx fibromatous contractures?

excision or injection of collagenase

15

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

CMCJ, 1st digit

16

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

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

17

How do you tx OA of the CMCJ?

splint, NSAIDS, injections, SUSPENSIONPLASTY

18

this can lead to mucous cysts and nail deformities

DJD of DIP

19

What is the definitive tx for DIP DJD?

joint fusion

20

What will you use to tx bacterial paronychia?

Bactrim, clinda, soaks, I&D

21

How will you tx fungal paronychia?

itraconazole or thymol

22

Infection of the finger pulp

felon

23

How do you tx felon?

I&D, watchful for OM (staph)

24

4 Kanavel's signs:

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

25

Kanavel's sign indicates __________

flexor tenosynovitis

26

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

mallet finger, watch for subluxated fx fragments

27

How do you tx mallet finger?

full time splint x 6 weeks

sx if subluxated

28

What is a complication of mallet finger?

swan neck deformity

29

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

Eikenella, give PCN/Tetra/Cephalosporin

30

What pathogen is most common in dogbite? What abx?

Pasturella, give Amox/Augmenting, Cipro

31

what should you check if you suspect a phalangeal fx?

Rotational deformity (displacement)

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

gamekeeper's thumb

33

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

Spica cast

34

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

Stener's Lesion

35

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

Boxer's Fx, short arm ulnar gutter cast

36

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

avascular necrosis, FOOSH

37

How do you treat scaphoid fx?

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

38

AVN of lunate is called:

Kienbocks Dz

39

What is the most common Salter Harris fx?

II (also has best outcome)

40

Salter Harris II

metaphysis

41

Salter Harris IV

through

42

SH V

crushed

43

SH I

across growth plate

44

SH III

epiphysis

45

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

SH I

46

What SH typically requires surgical intervention?

SH III, sometimes IV

47

What's another term for a torus fx?

buckle

48

Who gets buckle fractures and how?

FOOSHing kids

49

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

Colles

50

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

Smith (reverse FOOSH)

51

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

sugar tong splint