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Tri 6 - MSK 2 > Hand/Wrist > Flashcards

Flashcards in Hand/Wrist Deck (16)
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1

• Atari Thumb
• Joy-stick thumb
• Fighter pilots thumb
• Mother’s thumb
• Washwomen’s thumb
- texting thumb

De Quervain’s syndrome

2

pain lingers after use, maybe worse the next day, constant pain

-itis

3

pain under load

-osis

4

• Overuse of the thumb
• Eccentric lowering of the wrist into ulnar
deviation with a load being held in the hand.
• “Wringing” motions

De Quervain’s syndrome

5

T/F: De Quervain’s syndrome
Females > Males

TRUE

6

Resisted thumb extension with the wrist in
maximun radial deviation.

Finkelstein test

(+ for De Quervain’s syndrome)

7

- itis w/ De Quervain’s syndrome

immobilize, graston, laser, ice, deflame supps

8

- osis w/ De Quervain’s syndrome

progressive load of the tendon, eccentrically preferred, produce/ no worse

9

Tenosynovitis of the radial wrist extensors
AKA “Squeaker” syndrome
• d/t odd squeak-like crepitus
• "wet leather" crepitus on motion

Intersection syndrome

10

Essentially the same as De Quervain’s, but applied to the appropriate tissues.

Often seen in athletes:
• Weightlifters
• Tennis players
• Skiers (Pole use)

Intersection syndrome

11

near joints are connected to the joint and the leading theory is that a type of
check valve forms that allows fluid out of the joint, but not back in
contains clear fluid similar to, but thicker than, normal synovial fluid

Ganglion Cyst

12

ganglion cyst: out-pouching from carpal synovium, bursa or tendon sheath (65% are over the ________)

scapholunate ligament)

13

tx of ganglion cysts

aggressive soft tissue

14

Genetic condition causing
contracture of the deep
fascia of the hand.

Dupuytren’s Disease

15

M>F, ages 40-60, ULNAR side of the hand more commonly
affected
• Associated with Northern
European ancestry, chronic
alcoholism, DM, epilepsy
and chronic pulmonary
disease.

Dupuytren’s Disease

16

Dupuytren’s RX

Aggressive soft tissue mobilization that targets the fascia

cannot fix it, typically