Week 5 (2) Flashcards

1
Q

What is an outpouching of synovial fluid from DIP joints in OA?

A

Mucous cyst

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2
Q

What might a mucous cyst deform?

A

A nail and cause ridging

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3
Q

What hand condition is an outpouching of a synovial cavity, usually painless and usually resolves with time?

A

Ganglions

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4
Q

In trigger finger where do tendons run within?

A

Flexor tendon sheath

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5
Q

In trigger finger what does the tendon get caught up on?

A

A1 pulley

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6
Q

What common hand condition is spontaneous, painful, swollen and can be looked for with Finklestein’s test?

A

DeQuervains

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7
Q

How is DeQuervains managed?

A

NSAIDs
Splint
Rest

Steroid injection + surgery

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8
Q

What does dupuytrens contracture start as?

A

Palmar pit/nodule

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9
Q

What test can be used to examine Dupuytrens contracture?

A

Table-top test

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10
Q

What is paronychia?

A

Infection within nail fold often in children

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11
Q

Name a hand condition which is a surgical emergency?

A

Flexor tendon sheath infection

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12
Q

Give three clinical features of flexor tendon sheath infection?

A
  1. Extremely painful
  2. Limited extension
  3. May have tracking lymphangitis
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13
Q

Name a finger tip injury?

A

Subungual haematoma

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14
Q

What hand fracture is mimimal displacement, no rotation, more distal and is treated with early mobilisation and a buddy strap?

A

Boxers fracture

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15
Q

In burns - what is eschar?

A

Thick, leathery, inelastic skin that forms after burns

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16
Q

What is the term for chronic tendon injury with damage to a tendon at cellular level?

A

Tendonosis

17
Q

WHat is tenosynovitis?

A

Inflammation of the tendon sheath

18
Q

What is 90% of a tendon?

19
Q

With what two tendon injuries would you use steroid injections for treatment?

A

Rotator cuff and tennis elbow

20
Q

What tendon injury would splinting be used on?

A

Achilles tendon

21
Q

What might athletes (throwing events) and painters suffer from?

A

Rotator cuff pathology

22
Q

What is the gold standard imaging of the rotator cuff?

A

Ultrasound

23
Q

What does a popeye sign and extensive bruising of the arm suggest?

A

Biceps rupture

24
Q

What is another term for lateral epicondylitis?

A

Tennis elbow

25
What test is positive in tennis elbow?
Mills test
26
What is another term for medial epicpndylitis/
Golfers elbow
27
What originates at the lateral epicondyle?
forearm extensors
28
What originates at the medial epicondyle?
Forearm flexors
29
What does De Quervain's tenosynovitis affect?
First compartment of thumb - APL and EPB
30
hOW IS dE qUERVAINS TENOSYNOVITIS diagnosed and investigated?
Finklestein's test | USS and x-ray
31
What is another name for traction apophysitis?
Osgood schlatter's
32
Where does osgood schaltter's disease occur and in who?
Insertion of patellar tendon into anterior tibial tuberosity, adolescent active boys
33
What test is positive for calcaneal tendon rupture?
Simmonds