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14 Cards in this Set
- Front
- Back
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For the rheumatoid wrist, what are the early radiocarpal interventions?
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ECRL to ECU transfer helps correct radial deviation and supination
Synovectomy of DRUJ |
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What are the later intervention options?
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Radiolunate fusion
Total wrist arthroplasty (in the low demand patient only) |
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How is early MCP disease treated?
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Stage 1: medical management, splinting
Stage 2: synovectomy Stage 3: centralization of extensor tendon, ulnar intrinsic release |
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Is fusion or arthroplasty preferred for advanced disease: thumb versus other MCP joints?
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Thumb MCP fusion OK (if CMC not fused)
Other MCP joints: arthroplasty generally preferred |
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In general, successful resurfacing arthroplasty requires what?
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Intact collateral ligaments
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When treating advanced rheumatoid arthritis (RA) disease with MCP arthroplasty, what other potential pathology must be addressed first?
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The wrist
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What is the treatment for advanced PIP rheumatoid disease?
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Arthrodesis or arthroplasty
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What is the relative frequency of rupture of different tendons in
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EDM
EDC (ring, small) descending order)? EPL |
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What tendon is generally transferred to a ruptured EDM?
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EIP
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What tendon is generally transferred to a ruptured EDC (small)?
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EIP
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What tendon is generally transferred to a ruptured EPL?
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EIP
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What is Mannerfelt-Noonan syndrome? What is its significance?
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FPL rupture in rheumatoid arthritis
Most common flexor tendon rupture |
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What is the preferred treatment for Mannerfelt-Noonan?
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FDS transfer
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Bottom line: what tendons are generally most useful for transfers in RA ruptures?
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EIP
FDS (ring) |
