Family Medicine: Common Hand Problems and Carpal Tunnel Syndrome

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15 Questions

What is the most common symptom of carpal tunnel syndrome?

Numbness, tingling and pain in a median nerve distribution

What is the main cause of carpal tunnel syndrome?

Compression of the median nerve in the carpal tunnel

What is the pathognomonic test for De Quervain tenosynovitis?

Finkelstein test

Which activity is likely to precipitate De Quervain tenosynovitis?

Racket sports

What is the recommended management for De Quervain tenosynovitis?

Thumb spica splint to immobilize the wrist and thumb

What may be a late symptom of carpal tunnel syndrome?

Weakness, dropping objects, and persistent numbness

What is the most frequently occurring fracture in adults?

Distal radius fractures

How is a Mallet finger typically caused?

Forced flexion of an actively extended DIP joint

What is the clinical presentation of an Ulnar collateral ligament (UCL) tear at the thumb MCP joint?

Instability with pinch grasp

What should be done if initial x-ray films are negative for scaphoid fracture?

Immobilize the area with thumb spica cast and repeat imaging after 10 to 14 days

What is the cause of Trigger finger?

Inflammation of the first annular (A1) pulley

How is a Galeazzi fracture typically caused?

Direct blow to radius

Which type of fracture involves a diaphyseal fracture of proximal ulna with subluxation of the radial head?

Monteggia fracture

What is the clinical presentation of Boutonniere deformity?

Fixed flexion at the PIP joint

What are subtypes of wrist fractures that occur in a fall onto an outstretched hand (FOOSH)?

Distal radius, Colles, and Smith fractures

Learn about carpal tunnel syndrome, a common musculoskeletal disorder in adults, which is characterized by the compression of the median nerve in the wrist. Understand its causes, symptoms, and examination techniques.

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