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32 Cards in this Set

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How do you treat intraocular fractures of the PIP?
Dynamic traction
A 20-year-old college basketball player sustains a dorsal dislocation of the metacarpophalangeal joint of the dominant index finger. Repeat attempts at closed reduction are unsuccessful. Which of the following structures are the most likely cause of the unsuccessful closed reductio
Lumbrical muscle, volar plate, and flexor digitorum profund
A 40-year-old man has a dorsal dislocation of the metacarpophalangeal joint of the index finger. On physical examination, the finger stands up on the metacarpal. Which of the following is the most appropriate initial management?
Flexion of the wrist with pressure on the proximal phalanx directed distally and vola
A 17-year-old boy has tenderness over the metacarpal shafts . X-ray shows a transverse fracture. what is the most appropriate treatment?
Open reduction and miniplate fixation
A 17-year-old boy has highly comminuted metacarpal shaft fracture with bone and soft-tissue loss. what is the most appropriate treatment?
Closed reduction and external fixation or one stage repair using the posterior interosseous flap which utilizes the Extensor pollicis longus
A 17-year-old boy has tenderness over the metacarpal shafts . X-ray shows oblique metacarpal fractures in which the length of the fracture is at least twice the diameter of the bone. what is the most appropriate treatment?
Lag screw fixation
A right-handed, 22-year-old football player sustains the dislocation when he falls on his outstretched right hand. On examination of the hand, the condyles of the proximal phalanx are protruding through the volar flexion crease of the proximal interphalangeal joint. Following regional nerve blockade and irrigation of the joint in the emergency department, closed reduction is unsuccessful.Which of the following structures is the most likely cause of the unsuccessful closed reduction?
Flexor digitorum profundus tendon
A right-handed, 22-year-old football player sustains the dislocation when he falls on his outstretched right hand. On examination of the hand, the condyles of the proximal phalanx are protruding through the volar flexion crease of the proximal interphalangeal joint. Following regional nerve blockade and irrigation of the joint in the emergency department, closed reduction is unsuccessful.what is the appropriate management?
partial division of the A3 pulley
How do you treat a Type IV mallet finger?
Closed reduction and longitudinal pin fixation
How do you treat a Type I & II mallet finger?
Stack splinting
Describe Salter - Harris Type I fractures
epiphysis is separated from the metaphysis; the diaphysis and articular surface are unaffected
Describe Salter - Harris Type II fractures
involve a small fracture of the metaphysis and separation of the epiphysis from the metaphysis
Describe Salter - Harris Type III fractures
the epiphysis is fractured and the articular surface is involved.
Describe Salter - Harris Type IV fractures
fractures have involvement of the diaphysis, epiphyseal plate, and articular surface
Describe Salter - Harris Type V fractures
the epiphyseal plate is compressed; the metaphysis is unaffected
How do you treat children was Salter Type I & II fractures?
closed reduction, followed by casting or pin fixation.
How do you treat children was Salter Type III IV & V fractures?
closed reduction, followed by casting or pin fixation.also include restoration of the articular surface
What is the treatment for avulsion of the ulnar collateral ligament of the thumb?
Open reduction and miniplate fixation
what is an acceptable residual deformity post reduction for the index , ring and little finger?
IF <10, RF< 30, LF <40 degrees
What is the most common carpal bone fracture?
Scaphoid
A patient has anatomic snuffbox tenderness and a positive Watson's shift test.what is the diagnosis?
scaphoid fracture
A 20-year-old major college basketball player sustained a displaced fracture of the proximal pole of the scaphoid of the dominant right wrist during a basketball game four months ago. Open reduction and internal fixation were performed at the time of injury. A current MRI shows nonunion of the fracture and avascular necrosis of the proximal pole; the articular surfaces are intact. She anticipates playing for the team the following season, and would like to play basketball professionally after graduation.Which of the following is the most appropriate next step in management?
Reconstruction with a bone pedicle flap
A patient has anatomic snuffbox tenderness and a positive Watson's shift test.what is the treatment?
undisplaced- splint ; displaced -ORIF
A patient has nonunion of a Scaphoid fracture. what is the treatment?
ORIF with bone grafting;proximal row carpectumy in advanced cases
what is the risk of avascular necrosis cf proximal pole and waist fractures of the scaphoid?
90%; 30% to 50%
Describe a Colles fracture
extraarticular Fracture with dorsal comminution, dorsal displacement of the distal fragment, and radial shortening
Describe Smith's fracture
volar displacement of distal fragment
what is the treatment for non-displaced distal radius fracture?
sugar tong splint for 4 weeks
what is the treatment for scapholunate advanced collapse (SLAC)?
scaphoid excision with arthrodesis of the capitate-lunate-hamate-triquetrum is the treatment of choice
what is the treatment of choice for younger patients who have arthritis that is limited to the trapeziometacarpal joint and who require strong grip and pinch?
Trapeziometacarpal arthrodesis
A 65-year-old woman has had worsening pain in the dominant right thumb for the past four years. She has difficulty buttoning her shirt and opening jars. Conservative management has not been effective.What is the most likely diagnosis?
pantrapezial osteoarthritis
A 65-year-old woman has had worsening pain in the dominant right thumb for the past four years. She has difficulty buttoning her shirt and opening jars. Conservative management has not been effective.What is the treatment?
Trapeziectomy and tendon interposition arthroplasty