Hand Injuries

Play an AI-generated podcast conversation about this lesson

What is the most common arthritis in the hand?

Osteoarthritis at the CMC joint (thumb)

What is Stener's lesion?

A full rupture of the UCL (ulnar collateral ligament) that often requires surgery

What does TFCC stand for and what does it affect?

Triangular fibrocartilage complex affects the ligaments between the ulnar, lunate, and triquetrum

What is the conservative treatment for SLAC wrist?

Conservative treatment is most effective Signup and view all the answers

What is the cause of carpal tunnel syndrome?

Compression of the median nerve at the carpal tunnel Signup and view all the answers

What is the clinical feature of Slack ligament wrist injury?

Instability Signup and view all the answers

What does a positive DRUJ test diagnose?

Ulnar wrist pain with reduced rotation Signup and view all the answers

What is the assessment for carpal tunnel syndrome?

Phalen's, Durkan's, Tinel's, and Levine questionnaire Signup and view all the answers

What is the management for mallet finger in Zone 1 tendon injuries?

Immobilization for 6 weeks, with possible surgery if necessary and gradual weaning with a night splint for over 12 weeks. Signup and view all the answers

What is the recommended splinting duration for Zone 2 extensor tendon injuries?

Splinting of the DIP and PIP joints for the first 3 weeks, DIP joint only for 6-8 weeks, and PIP joint in 30 degrees of flexion to prevent swan neck deformity. Signup and view all the answers

Describe the swan neck deformity and its management.

Swan neck deformity is the permanent hyperextension of the interphalangeal joint, often resulting from rheumatoid arthritis. Chronic cases may require surgery, but it is avoided for as long as possible. Additionally, immobilization of the DIP and PIP joints in full extension for 1 week is part of the management. Signup and view all the answers

What is the management for central slip injuries in Zone 3 tendon injuries?

The management involves immobilization of the DIP and PIP joints in full extension for 1 week, followed by freeing the DIP joint and starting DIP joint range of motion. The splint is removed at 5 weeks. Signup and view all the answers

What are the management options for trigger finger tendinopathy?

Management options include splinting for 6 weeks using a money bag splint, tendon gliding exercises, forearm soft tissue massage, stretches, strengthening exercises, taping, and possibly steroid injection. Signup and view all the answers

What are the characteristics and differential diagnosis of DeQuervain’s tendinopathy?

DeQuervain’s tendinopathy affects the thumb tendons in the first dorsal compartment, causing pain at the radial styloid and during thumb motion, wrist deviation, or wide grasp. The differential diagnosis includes 1st CMCJ OA, radial nerve issues, and intersection syndrome. Signup and view all the answers

What is the recommended treatment for DeQuervain’s tendinopathy?

The recommended treatment includes splinting, steroid injection if splinting is ineffective, and surgery if necessary. Additionally, setting pain then strengthening (bunny ears exercise) is part of the treatment. Signup and view all the answers

What is Depuytren’s disease and its conservative treatment options?

Depuytren’s disease is the contracture of fascial bands in the palm, and its cause is unknown. The only conservative treatment option available is management through non-surgical means, as it can develop even after trauma. Signup and view all the answers