Hand

Question 0

Gamekeeper thumb? Physical exam findings? Management?

Answer 0

Injury of the Omar collateral ligament by forced hyperextension of the thumb – seen in skiing injuries

Collateral laxity at the thumb-metacarpophalangeal joint

Casting

Question 1

Felon? Symptoms? Surgery when?

Answer 1

Abscess in the pulp of a fingertip caused by neglected penetrating injury

Fever, throbbing pain, tissue necrosis

Urgent surgical drainage

Question 2

Jersey finger? Physical exam findings? Management?

Answer 2

Injury to flexor tendon when flexed finger is forcefully extended (unsuccessfully grabbing of running person by the jersey)

Distal phalanx injured finger does not flex when making a fist

Splinting

Question 3

Mallet finger? Physical exam findings? Management?

Answer 3

Extended finger is forcefully flexed (volleyball injury) and extensor tendon is ruptured

When hand is extended, infected finger remains flexed

Splinting

Question 4

Management of traumatic amputation digits?

Answer 4

1. Clean digit with sterile saline, wrap in saline gauze, seal, and placed on ice
2. Use electric nerve stimulation to preserve muscular function