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Hand and Wrist
Ortho
| Question | Answer |
|---|---|
| pain over styloid w/o truama | DeQuervain's |
| Pain at base of thumb | CMC arthritis |
| Pain w/ well defined mass | ganglion |
| pain, loss of motion. on xray lunate appears really white | Kienbochc's, osteonecrosis of the lunate |
| widening of space between the scaphoid and lunate consistant w/dislocation | Terry-Thomas Sign |
| numbness in the hand is .... | carpal tunnel until proven otherwise |
| what is ulanr sided numbness consistant w/ | cubital tunnel |
| what organism is most common in dog/cat bites? | pasteurella multocida |
| Tx for carpal tunnel | wrist splint, NSAID, injections, decrease activity, surgery |
| Adverse outcomes of carpal tunnel | permanent loss of sensation, thenar atrophy, weakness of opposition |
| indicated by a positive Findlestein Test | deQuervain Synovitis |
| Tx for deQuervain Synovitis | thumb spica splint, NSAID, injection, surgery |
| nodular thickening and contracture of the palmar fascia; seen in northern european decent and men >50 | Dupuytren Dz |
| Presents w/ one or more painless nodules at distal palmar crease; finger may not flex at MCP; ring finger most common, extension limitied. Pt has trouble griping/holding obj/putting hand in pockets | Dupuytren Dz |
| Tx Dupuytren Dz | splints, surgery |
| In what infxn of the fingertip is I&D contra-indicated | Herpetic Whitlow |
| presents as severe pain and swelling at the finger pad, swollen red and tense w/ possible puncture wouldn | Felons: tx I&D |
| Swelling of tissues around the finger nail, usually one side at the base; not as painful | paronychia |
| What should you never inject into digits? | EPINEPHERINE |
| Lacerated FDP - unable to flex... | DIP |
| Lacerated FDS - uanble to flex... | PIP |
| "Jersey Finger" is an avulsion of... | FDP at the insertion |
| Most common raius fracture: fragment is upward and dorsal | Colles fracture |
| Radius fracture: fragment is downward and volar | Smith fracture |
| Where do most scaphoid fractures occur? | 60% in waist |
| How long may it take for a schaphoid fracture to show on xray? | 1 month |
| What is the most common hand fracture? | 5th metacarpal |
| Fracture of distal metaphysiseal injuries from striking a closed fist against a hard surface | Boxer's Fracture - 5th metacarpal |
| Oblique fracture at the base of the thumb that enters the CMC joint | Bennett fracture |
| Y-Shaped intra-articular fracture at the base of the thumb | Rolando |
| Osteonecrosis of the lunate aka... | Kienboch Disease |
| What age range does Kienboch Dz affect | men 20-40 y/o |
| presents w/ pain stiffness, diffuse swelling over the dorsum of the wrist. possible weaness. inability to grasp heavy obj. lunate tenderness. | Keinboch dz |
| WHITE LUNATE on xray | Keinboch dz |
| Rupture or avulsion of the insertion of extensor tndon into the dorasl aspect of the distal phalanx; may be bony or soft tissue | Boney or soft tissue mallet |
| Pain and inability to straighten fingertip. DIP is flexed. dorsal areal over DIP is tender and swollen | Boney or soft tissue mallet |
| ulnar collateral ligament injury of thumb | Gamekeeper's Thumb |
| flexor tendon can not bowstring | trigger finger |
| 2 causes of trigger finger | idiopathic or RA |
Created by:
mczarko
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