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5 Cards in this Set
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22 yo rugby player w/ a mass @ base of ring fingr 5 mths p/ sustaing injry while makg tackle. PE: a lack of active DIP jnt flex, but full passive ROM of all joints of the ring finger. xrays-nl. What is Tx to regain nl fingr functn?
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1-excisn palmar mass & 2-stage tendn graftg; 2-excisn palmar mass & 1 stage tendn graftg; 3-excisn palmar mass & dist IP jnt fusion; 4-active silicone rod implantn; 5-FDP repair:: chronic (>3mo).Ans1
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16yo football playr sustains an injury to ring fingr p/ making a tackle. shown Fig A. What is the dx? 1-FDS avulsion; 2-Central slip rupture; 3-Sagittal band rupture
4-Distl extensor tendon rupture; 5-FDP avulsion:: |
"rugby jersey fingr"= avulsion of FDP tendn, <3mths & < 1cm. acute Tx=FDP tendn reinsertion; chronic Tx,> 3 mths=2-staged tendn graftg w/ full PROM DIP jnt. DIP arthrodesis > 3 mths w/ chronic stiffness.Ans5
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19yo football playr suffers a fall onto a pronated, extended wrist. c/o pn w/ resisted ulnar deviation & + tender palptn just distal->ulnar styloid. no tenderness over ECU tendn. xrays/Fig A & MRI/Fig C. dx?
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1-ECU tendn rupture; 2-TFCC tear; 3-Hook of hamate fx;
4-Scapholunate lig inj; 5-Perilunate dislctn::Fall from standg -> ext'd & pronatd wrist @ risk for injrs to-> soft tissues wrist. most tears in athletes: acute & repair-> dorsal tear ECU tendon sheath.Ans2 |
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Which of the following structures is an anatomical component of the TFCC? 1-ECU tendn sheath; 2-Lunotriquetral interosseous lig; 3-EDM tendon sheath; 4-Radioscaphocapitate lig; 5-FCU tendon sheath
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TFCC= 1 sheath of ECU, 2 an articular disc, 3 dorsal & volar radioulnar lig, 4 meniscus homologue, 5 the UCL; TFCC functions as a cushion at the ulnocarpal interface, and is a major stabilizer of the DRUJ.Ans1
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34yo seamstress dx w/ Parsonage-Turner brachial neuritis in the R UE 1 mth ago, weak forearm pronation with the elbow in the flex position. denies sensory changes. clinical image Fig A. what dx & tx? 1-AIN syndrm txd w/ observn;
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2-PIN syndrm w/ release -> Arcade of Frohse; 3-Pronator syndrm w/ release-> lacertus fibrosis; 4-AIN syndrm w/ release -> Gantzer's mus; 5-PIN syndrm txd w/ observn::AIN usually resolves, Observtn 3-6 mths w/ splinting.Ans1
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