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3 Cards in this Set
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20 yo M c/o pain, swelling, popp'g over index MCP jnt p/ strik'g a wall 3 Dz ago. x-rays = nl, but PE reveals a palpable defect over dorsum of jnt w/clenchg fist, & this defect is resolvd w/extnsn of mcp jnt. What is tx?
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1-Triggr fingr steroid injctn; 2-Extnsn splintg of the MCP jnt; 3-MCP synovctmy; 4-Extensor hood recon; 5-MCP jnt arthrodesis:::Sagittal band inj w/in 3 wks txd non-op w/ MCP jnt flex block'g splint. if > 2-3 wks old or fail'd a trial of splint'g= surgery fix.Ans2
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Which congenital hand defrmts prevalent in pts of African-Amrcn ancestry; 1-Constriction band syndrm/amniotic band syndrm= pseudosyndactylymore; 2-Preaxial polydactyly; 3-Syndactyly; 4-Macrodactyly; 5- postaxial polydactyly ?
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postaxial polydactyly, which is more prevalent in patients of African-American ancestry.Ans5
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Bilhaut-Cloquet procedr for thumb duplication, where the central portions of bone and nail are removed and the radial half of one thumb is combined with the ulnar half of the other to create one thumb, is most appropriate in which Wassel Type shown in Figure A
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1
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