Hand-Fracture

Front 1

How do you treat intraocular fractures of the PIP?

Back 1

Dynamic traction

Front 2

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

Back 2

Lumbrical muscle, volar plate, and flexor digitorum profund

Front 3

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?

Back 3

Flexion of the wrist with pressure on the proximal phalanx directed distally and vola

Front 4

A 17-year-old boy has tenderness over the metacarpal shafts . X-ray shows a transverse fracture. what is the most appropriate treatment?

Back 4

Open reduction and miniplate fixation

Front 5

A 17-year-old boy has highly comminuted metacarpal shaft fracture with bone and soft-tissue loss. what is the most appropriate treatment?

Back 5

Closed reduction and external fixation or one stage repair using the posterior interosseous flap which utilizes the Extensor pollicis longus

Front 6

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?

Back 6

Lag screw fixation

Front 7

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?

Back 7

Flexor digitorum profundus tendon

Front 8

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?

Back 8

partial division of the A3 pulley

Front 9

How do you treat a Type IV mallet finger?

Back 9

Closed reduction and longitudinal pin fixation

Front 10

How do you treat a Type I & II mallet finger?

Back 10

Stack splinting

Front 11

Describe Salter - Harris Type I fractures

Back 11

epiphysis is separated from the metaphysis; the diaphysis and articular surface are unaffected

Front 12

Describe Salter - Harris Type II fractures

Back 12

involve a small fracture of the metaphysis and separation of the epiphysis from the metaphysis

Front 13

Describe Salter - Harris Type III fractures

Back 13

the epiphysis is fractured and the articular surface is involved.

Front 14

Describe Salter - Harris Type IV fractures

Back 14

fractures have involvement of the diaphysis, epiphyseal plate, and articular surface

Front 15

Describe Salter - Harris Type V fractures

Back 15

the epiphyseal plate is compressed; the metaphysis is unaffected

Front 16

How do you treat children was Salter Type I & II fractures?

Back 16

closed reduction, followed by casting or pin fixation.

Front 17

How do you treat children was Salter Type III IV & V fractures?

Back 17

closed reduction, followed by casting or pin fixation.also include restoration of the articular surface

Front 18

What is the treatment for avulsion of the ulnar collateral ligament of the thumb?

Back 18

Open reduction and miniplate fixation

Front 19

what is an acceptable residual deformity post reduction for the index , ring and little finger?

Back 19

IF <10, RF< 30, LF <40 degrees

Front 20

What is the most common carpal bone fracture?

Back 20

Scaphoid

Front 21

A patient has anatomic snuffbox tenderness and a positive Watson's shift test.what is the diagnosis?

Back 21

scaphoid fracture

Front 22

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?

Back 22

Reconstruction with a bone pedicle flap

Front 23

A patient has anatomic snuffbox tenderness and a positive Watson's shift test.what is the treatment?

Back 23

undisplaced- splint ; displaced -ORIF

Front 24

A patient has nonunion of a Scaphoid fracture. what is the treatment?

Back 24

ORIF with bone grafting;proximal row carpectumy in advanced cases

Front 25

what is the risk of avascular necrosis cf proximal pole and waist fractures of the scaphoid?

Back 25

90%; 30% to 50%

Front 26

Describe a Colles fracture

Back 26

extraarticular Fracture with dorsal comminution, dorsal displacement of the distal fragment, and radial shortening

Front 27

Describe Smith's fracture

Back 27

volar displacement of distal fragment

Front 28

what is the treatment for non-displaced distal radius fracture?

Back 28

sugar tong splint for 4 weeks

Front 29

what is the treatment for scapholunate advanced collapse (SLAC)?

Back 29

scaphoid excision with arthrodesis of the capitate-lunate-hamate-triquetrum is the treatment of choice

Front 30

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?

Back 30

Trapeziometacarpal arthrodesis

Front 31

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?

Back 31

pantrapezial osteoarthritis

Front 32

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?

Back 32

Trapeziectomy and tendon interposition arthroplasty