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23 Cards in this Set
- Front
- Back
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• What is de Quervain’s tenosynovitis?
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o Tendinosis of extensor pollicis longus and abductor pollicis brevis
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• What is the classic presentation of de Quervain’s tenosynovitis?
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o Tenderness over the first compartment tendons
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• What is the cause of de Quervain’s tenosynovitis?
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Idiopathic
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• Describe the physical exam test used to diagnose de Quervain’s tenosynovitis.
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o Finkelsteins’s test: pain with palpation of the first compartment tendons during thumb flexion
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• What is the treatment of de Quervain’s tenosynovitis?
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o Resting/splinting, NSAIDs
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• What is the characteristic sign/symptom of a scaphoid fracture?
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o Tenderness over snuff box
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• What is the treatment for a scaphoid fracture?
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o Non-displaced: casting
o Displaced: ORIF |
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• Name two common complications of a scaphoid fracture.
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o AVN, non-union
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• What is a TFCC injury?
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o Injury to the triangular fibrocartilage complex
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• What is the triangular fibrocartilage complex?
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o Cartilage at the distal joints of the ulna
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• What causes TFCC injury?
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o Usually trauma
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What is ulnocarpal impaction syndrome?
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Pain due to relatively long ulna abutting ulnar aspect of carpus
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What is the treatment for ulnocarpal impaction?
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Shortening of ulna
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Which nerve is affected in carpal tunnel syndrome?
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Median nerve
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What is the classic presentation of carpal tunnel syndrome?
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Pain/numbness on radial 3 1/2 digits, worse at night
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What is the eventual complication of carpal tunnel syndrome?
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Muscle weakness, thenar muscle wasting
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Which two physical exam maneuvers are employed to diagnose carpal tunnel syndrome?
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Tinel's sign
Phalen's test |
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What further investigation can confirm carpal tunnel syndrome?
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EMG
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What is the non-surgical option for treatment of carpal-tunnel syndrome?
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Wrist splint at night
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What is the gold standard for management of carpal-tunnel syndrome?
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Surgical decompression under local anesthetic
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How is the scaphoid bone divided anatomically?
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Proximal, middle, and distal
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Fracture of which region of the scaphoid leads to AVN?
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Proximal fracture
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Which pole of the scaphoid is most susceptible to AVN?
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Proximal pole
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