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20 Cards in this Set
- Front
- Back
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i. Stenosing tennoysynovitis of abductor pollicus longus and extensor pollicus brevis tendon at styloid process of radius.
ii. Inflammation causes thickening and stenosis of synovial sheath of first compartment of the extensor retinaculum. |
DeQuervain's disease
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test for stenosing tensoynovitis
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finkelsteins test
( used for dequerveins disease) |
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i. Stenosing tenosynovitis of flexor tendon's of finger
ii. Most common middle digit Inflammation and nodular enlargement of tendons |
trigger finger
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1. Occur at joints or tendons with sleeves
2. A synovial hernia |
ganglionic cyst of wrist
can occur other places |
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4. Tissue at synovium (capsule, sheath, etc.) gets weak and "blows out"
5. If "communicating" - fills with synovium 6. Benign unless painful 7. May self resolve, be drained, surgically excision, adjust adjacent joints (to restore biomechanics) 8. May recur orthopedic test Allen's for vascular of radial artery |
ganglionic cyst
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i. Chief complaint is weakness in the hand
ii. Also paresthesia iii. Associated with pregnancy because fluid accumulation iv. Test with Tinel's and Phalen's tests |
carpal tunnel syndrom
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i. Idiopathic, repetitive trauma
ii. Thickening of aponeurosis results in flexion deformities. iii. problems with extension painful nodules can occur v. Most common 4th and 5th digits vii. Dimpling and puckering of skin viii. Paraffin/deep heat, then tear adhesions out (like frozen shoulder |
Dupuytren's Contracture
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Peripheral Innervation of wrist/hand
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nerve covers middle and distal surface on palmar surface of 1st, 2nd, 3rd distal digits, and half of fourth distal digit, on dorsal surface distal thumb in anatomical snuffbox
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claw hand deformity
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loss of ulnar nerve or impingement also median=all 5 fingers in flexion
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Kienböck’s Disease
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Lunate sclerosis
Pain on dorsiflexion of wrist, especially the middle finger Weak grip strength Lunate sclerosis Lytic changes in reabsorptive phase Significant change in functioning of wrist Young adults - 15 to 40 years olds Ischemic event |
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i. Can resemble TOS
ii. In true ulnar neuropathy it tends not to refer up the arm because distribution more distal iii. Compression could be in Tunnel of Guyon, by pisiform and hamate |
ulnar nerve compression
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buouchard's nodes
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associated with Rhematoid arthritis
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proximal interphalageal joint is hyperextended and distal part if flexed
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swan neck deformity
seen in RA |
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volkmann's ischemic contracture
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due to brachial artery being impaled
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Limitation of abduction due to shortened and contracted adductor muscles of hip
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congential hip dislocation
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tests for hip dislocation
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e. Allis' or Galeazzi’s Sign- knees bent, knee on affected side lower than other knee
f. Telescoping or pistoning - moves beyond acetabulum g. Trendelenburg's Sign - hip drops on opposite side |
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test for baby and hip dislocation
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i. Ortolani’s (reduction) Test
i. Performed on babies ii. Hip is flexed and abducted iii. Doctor pushes from behind femur - hear a "Clunk" iv. Decreases dislocation j. Barlow's (dislocation) Test i. Performed on babies ii. Flex hips and adducted iii. Doctor will push posteriorly iv. It should NOT go v. If it dislocates, it is associated with instability of the joint vi. Increases dislocation vii. No pain, no stress in joints in babies viii. As child grows, leg shortens |
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Treatment Positions for babies with hip dislocation
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a. Triple diapers - one disposable diaper under two cloth diapers
b. von Rosen splint - worn almost 23 hours per day, duration of treatment related to age (treatment time is 2 times the age of child) c. Pavlik harness - forces flexion and abduction |
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harness adjustment zones for hip dislocation
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4. Safe Zone of Ramsey
a. Where we want femur to come into acetabulum 5. Zone of Redislocation a. Femur is adducted too much 6. Maximal Abduction a. Can cut off blood flow to femur |
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a. Defined as idiopathic avascular necrosis of the epiphysis f the femoral head (capital femoral epiphysis)
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1. Legg-Calvé-Perthes Disease
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