Plastics hands

Question 1

test for carpel tunnel

Answer 1

Phalen’s and reverse palen’s cause compression and symptoms will be exacerbatrd
Durkan’s - press on the carpel tunnel
Tinel’s - tap over carpel tunnel

Question 2

digits supplied by median nerve

Answer 2

palmar 3.5 digits ( thumb, index, middle and half of ring)

and dorsum of the top of index and middle

Question 3

How to transport an amputated digit

Answer 3

Wrap in damp gauze / towel
which is in a plastic bag/ container
which is placed on ice
digit in towel, towel in a bag, bag in the ice.

Question 4

Kanavel’s 4 signs

Answer 4

of infectious flexor tenosynovitis

• fusiform swelling
• tenderness of sheath
• resting in flexion
• pain on passive extension

Question 5

Tx of infectious flexor tenosynovitis

Answer 5

Surgical emergency because potential to spread quickly

- washout, IV Abu, high election , hand therapy