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Flashcards in Hand Deck (25):
1

Treatment of hook of hamate fracture or pisiform nonunion

surgical excision

2

indications for healing by secondary intention

3

operative treatment of fingertip loss indications

primary closure - ability to ronger bone without comprimise to nail bed

full thickness skin - > 2cm soft tissue loss with no exposed bone

flap - exposed bone

4

options for flaps

cross or reverse cross finger flap
thumb - moberg if

5

Is there any advantage of hylan over steroid for thumb OA

no

6

How does allopurinol help with replantation

inhibits conversion of hypoxanthine to xanthine to help prevent ischemia

7

nerve at risk with trigger thumb

radial digital nerve

8

pain distal to the lateral epicondyle with pain with extension of the first finger

radial tunnel syndrome

9

indications for reimplantation

thumb at any level
multiple digits
through the palm
wrist or proximal to the wrist

Relative
Zone 1 single finger
ring avulsion
above elbow

10

contraindications to reimplantation

severe crush
severe vascular
segmental
ischemia > 6 hrs

Relative
distal to FDS insertion (zone 2) - single digit
medically unstable
psych illness
tissue contamination

11

order of replantation

bone
extensor
artery
venous
flexor
nerve
skin

do artery sooner if > 3hrs ischemia

12

Load taken by the wrist in neutral ulnar variance

80% radius
20% ulna

13

Treatment of boxers knuckle and rupture of extensor hood

extension splinting if presents with-in 3 weeks of injury

14

best way to reduce infection following CTS release

standard sterilization and prepping

15

seymor fracture

nailbed injury with physeal fracture

I&D
reduction
nail bed repair
immobilization

16

when should you perform epiphysiodesis on a patient with macrodactyly

when the finger in the length of the parent of the same sex

17

which nerve has the best prognosis for recovery following graft repair

radial

18

most common complication post op surgery for syndactly

web commisure (creep)

19

SHOX gene

Leri-Wiel

20

CBFA-1 gene

cleidocranial dysplasia

21

Radial club hand associations

thrombocytopenia absent radius
fanconi's anemia
Holt-oram
VACTERYL

22

Test for fanconis anemia

CBC
peripheral blood smear
chromosomal breakage

23

syndactyly

apert

24

preaxial polydactyly

holt-oram
fanconi's anemia

25

post-axial polydactyly

chondroectodermal dysplasia