Flashcards in hand/wrist Deck (51)
most common peripheral nerve entrapment is called ________ and compresses which nerve?
What are the risk fx's for development of CTS?
repetitive use, pregnancy, DM, hypothyroid, RA
What special tests help dx CTS?
Tinels, phalens, reverse phalens.
thenar wasting and NCV/EMG
What are some conservative tx's of CTS?
splint, NSAIDS, B12, CS injection, activity modification
Commonly found soft tissue tumor of hand which is benign and treated with ______
Ganglion cyst, aspiration/sx/reassurance
trigger finger is caused by irritation of the ________, which can cause the finger to catch or lock in flexion or extension.
How do you tx trigger finger?
rest, splint, NSAID, injection, Sx
Pain with thumb movement while in position of ulner deviation is indicative of ________ and can be tested using the ______________
dequervains tenosynovitis, finklestein's
How do you treat DeQuervains
ice, rest, injection, thumb spica split, sx release
This is a dz of the palmar fascia due to fibromatosis nodules which restrict tendon movement
What type of fibroma occurs on the plantar side of the foot?
What type of fibroma occurs on the knuckle pads of the fingers?
What type of fibroma occurs on the penis causing a curvature?
How do you tx fibromatous contractures?
excision or injection of collagenase
What is typically the first joint to be affected by OA?
CMCJ, 1st digit
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
How do you tx OA of the CMCJ?
splint, NSAIDS, injections, SUSPENSIONPLASTY
this can lead to mucous cysts and nail deformities
DJD of DIP
What is the definitive tx for DIP DJD?
What will you use to tx bacterial paronychia?
Bactrim, clinda, soaks, I&D
How will you tx fungal paronychia?
itraconazole or thymol
Infection of the finger pulp
How do you tx felon?
I&D, watchful for OM (staph)
4 Kanavel's signs:
1) pain w/ passive extension
3) finger held in flexion
4) ttp of entire tendon sheath
Kanavel's sign indicates __________
What is the term for a "jammed finger"? What do you need to watch for?
mallet finger, watch for subluxated fx fragments
How do you tx mallet finger?
full time splint x 6 weeks
sx if subluxated
What is a complication of mallet finger?
swan neck deformity
What pathogen is most common in a human bite? So what abx?
Eikenella, give PCN/Tetra/Cephalosporin
What pathogen is most common in dogbite? What abx?
Pasturella, give Amox/Augmenting, Cipro
what should you check if you suspect a phalangeal fx?
Rotational deformity (displacement)
____________ 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
How do you tx non-displaced gamekeeper's thumb?
What is the term for when gamekeeper's thumb requires surgery due to avulsed bone fragment that is displaced?
Fracture of the 5th metacarpal neck is called ________ and tx is casting in the _________position.
Boxer's Fx, short arm ulnar gutter cast
Worst case scenario, a scaphoid fx can lead to __________. Scaphoid fx's are common as a result of _________
avascular necrosis, FOOSH
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.
AVN of lunate is called:
What is the most common Salter Harris fx?
II (also has best outcome)
Salter Harris II
Salter Harris IV
across growth plate
Which salter harris is missed the most and diagnosed as a sprain?
What SH typically requires surgical intervention?
SH III, sometimes IV
What's another term for a torus fx?
Who gets buckle fractures and how?
This is a fx of the distal radius with dorsal displacement following FOOSH
This is a fx of the distal radius from palmer flexion (carrying baby)
Smith (reverse FOOSH)