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6 Cards in this Set
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Fig A depicts a child w/ syndactyly. Followg surgical tx, the MC complication involves which of the followg? 1- Nail plate; 2-Nail bed; 3-Web commissure; 4-Radial digital N; 5-Radial digital A
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Web creep, MC complication, is the distal migration of the web commissure seen in surgically corrected syndactyly pts; caused by abnormal scar tissue formation & increasg growth of underlying osseous structures. Informing parents of this complication preoperatively is advised.
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surgical release of involved digits in syndactyly vs acrosyndactyly perform at what age?
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release perform at ~ 1 year of age: syndactyly vs. neonatal period
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Which of the followg hand inj is most appropriately txd w/ a volar advan (Moberg) flap closure, (which flap best to cover each injury)? 1-digital wnds w/ 1^ volar tissue loss; 2-dorsal thumb wnd; 3-volar defcts 2 & 3rd fingrs; image 1
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4-volar thumb defect < 2 cm vs >2 cm; 5-ring avulsion inj w/ NO blood flow & bn, tendn, N intact vs NO flow w/ bn, tendn, or N inj:::
image 2 |
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image 3
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image 4
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image 5
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1-digital wnds w/ 1^ volar tissue loss;Tx'd-X-finger flap
2-dorsal thumb wnd:Tx'd-FDMA (1st dorsal metacarpal artery) 3-volar defcts 2 & 3rd fingrs; Tx'd-thenar flap 4 volar thumb defect: tx'd-Moberg advan volar flap < 2 cm vs >2 cm Tx'd-FDMA (1st dorsal metacarpal artery) and neurovascular island flaps 5-ring avulsion inj w/ NO blood flow & bn, tendn, N intact: Tx'd-vessel repair for NO flow & bn, tendn, N intact. vs if NO flow plus bn, tendn, or N inj:Tx'd amputation.Ans4 |
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6yp B sustained a finger tip amputation Fig A p/ grabbing a broken glass. tx plan bedside I & d finger & apply ABX ointment w/ dressing. Upon exploration of the wound distal phalanx is exposed. Your plan should change to include ?
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1-Homodigital island flap; 2-Thenar flap; 3-Volar flap advancement; 4-V-Y advancement flap; 5-No change from your initial plan of ointment and dressing; In young children with a fingertip amputation, ointment and dressing changes is the most appropriate tx even if bone is exposed.Ans5
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