WEEK 10 wrist and hand Flashcards
(16 cards)
What is carpal tunnel syndrome?
Compression of the median nerve in the wrist as it passes through a tunnel bordered by carpal bones and roofed by the transverse carpal ligament.
What is the peak age of onset for carpal tunnel syndrome?
45-60 years
Where is median nerve pain, paresthesia, and/or numbness felt in carpal tunnel syndrome?
Volar aspect of the radial 3 digits
Which thumb motion is weak in carpal tunnel syndrome?
Opposition
Which two tendons are involved in De Quervain’s?
- EPB
- APL
What results from initial physical irritation in De Quervain’s?
Acute inflammation of the tendon sheath leading to chronic degenerative changes and tendinosis.
What causes De Quervain’s?
Repeated wrist radial deviation and/or thumb palmar or radial abduction.
What type of splint is used in De Quervain’s?
Thumb spica
Which five diseases are associated with trigger finger?
- Diabetes
- Rheumatoid conditions
- Gout
- Hypothyroid
- Amyloidosis
What is trigger finger?
Tenosynovitis of digital flexor tendons.
At what age is trigger finger most commonly found?
40-70 years
Where does a fibrous nodule form in trigger finger?
Along the tendon of FDS as it passes under the A1 pulley.
Which flexor tendon is most often affected in trigger finger?
FDS
Where is pain felt in trigger finger?
Volar surface of the digit
Which fingers are most often seen with trigger finger?
1st, 3rd, 4th
Which joint is most often affected in trigger finger?
MCP
