Wrist effusion: find the dorsal recess

Question 1Where does a wrist effusion collect?

1. aInside the extensor tendons
2. bIn the dorsal recess over the carpal bones, deep to the extensor tendons
3. cSuperficial to the skin
4. dIn the carpal tunnel only

Question 2Fluid around a tendon which moves with the finger is what?

1. aTenosynovitis
2. bA joint effusion
3. cCellulitis
4. dA ganglion

Question 3A well-defined dark cyst with a neck leading towards the joint suggests what?

1. aA ganglion
2. bA tendon tear
3. cA fracture
4. dSeptic arthritis

Question 4A hot, swollen wrist has a small effusion. What next if infection is possible?

1. aStart antibiotics without aspirating
2. bAspirate and send the fluid before antibiotics
3. cDischarge because the effusion is small
4. dRepeat the scan next month

Question 5An effusion after a fall onto the wrist could mean what?

1. aA fracture, including the scaphoid
2. bNothing important
3. cGout only
4. dA ganglion