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13 Cards in this Set

  • Front
  • Back

What are the potential bad outcomes of a high pressure injection injury?

Compartment syndrome, poor perfusion and closed spaced infection of the anatomical spaces and tendon sheaths.

What is the treatment of high pressure injection injuries?

Surgical decompression, removal of foreign material and debridement of necrotic tissue

What is the appropriate management of a Grade 1 volar plate injury (flake avulsion or plate intact with split ligament)


Dorsal blocking splint, gentle flexion 2 weeks, early hand therapy.

What is the appropriate management of a volar plate injury with <20% articular surface involvement?

Dorsal blocking splint at the PIPJ at 20 degrees. Gentle flexion 2-3 weeks. Ortho review

What is the management of a grade 4 volar plate injury (>30% of the articular surface)

Immediate Ortho referral

Which nerve is affected in carpal tunnel syndrome - and therefore, which fingers are affected?

The median nerve. The palmar aspect of the thumb, index finger and third finger are affected

Which tendon flexes the PIPJ?

Flexor digitorum superficialis

Which tendon flexes the DIPJ?

Flexor digitorum profundus

Which nerves in the brachial plexus contribute to the median nerve?

C6-T1

How can you test FDP?

Hold the finger down at the PIPJ and ask the patient to flex

When should you refer a mallet finger to orthopaedics?

When >30% of the joint surface is involved.

Name the carpal bones in order

Scpahoid


Lunate


Triquetrium


Pisiform


Hamate


Capitate


Trapezeiod


Trapezium

In a patient who has sustained a zygomaxillary complex fracture what nerve may be damaged, and what signs of this would you see?

Inferior orbital nerve - seonsory deficit at inferior eyelid, nose, upper lip.