hand conditions

Question 1

treatment of mucous cysts

Answer 1

• may be left alone

- excision (often needs rotation flap)

Question 2

what are ganglions

Answer 2

outpouchings of synovial cavity

Question 3

treatment for ganglions

Answer 3

painless and will resolve over time

Question 4

management of ganglion if patient wants it gone

Answer 4

• aspiration

- excision

Question 5

what is trigger finger

Answer 5

when swollen tendon gets caught on edge on A1 pully

-pain over A1 pully (MC head) causes sticking of finger

Question 6

trigger finger management

Answer 6

• often resolves by itself
• splint
• tendon sheath injections (steroid plus LA)
• surgery

Question 7

what is Dupuytrens contracture

Answer 7

thickening and contracture of subdermal fascia leading to fixed flexion deformity of fingers

Question 8

cause of dupuytrens contracture

Answer 8

• genetics
• DM
• alcohol/cirrhosis
• smoking
• epilepsy

Question 9

treatment for dupuytrens

Answer 9

• stretches
• surgery MAINSTAY (segmental fasciectomy, fasciectomy, demofasciectomy, amputation)
• collagen injection
• percutaneous needle fasciotomy

Question 10

what is paronychia

Answer 10

infection within nail fold

Question 11

management of paronychia

Answer 11

• elevate
• antibiotics
• incise and drain