Hand

Question 0

What is the most important step in a 1st CMC arthroplasty for basilar thumb arthritis?

Answer 0

excision of trapezium

Question 1

What is the most common cause of carpal tunnel syndrome in children?

Answer 1

Mucopolysaccharidosis

Question 2

Which imaging modality should be used initially to evaluate suspected, chronic hook of the hamate fractures?

Answer 2

Carpal tunnel radiograph

Question 3

The etiology of ______ is the entanglement of fetal parts in the amniotic membrane.

Answer 3

Constriction band syndrome

Question 4

What is the best management of multiple metacarpal shaft fractures?

Answer 4

Open reduction and internal fixation

Question 5

Which part of the thumb’s ulnar collateral ligament (UCL) is the primary restraint to radial deviation with MCPJ flexion?

Answer 5

Proper UCL

Question 6

Which part of the thumb’s ulnar collateral ligament (UCL) is the primary restraint to radial deviation with MCPJ extension?

Answer 6

Accesory UCL

Question 7

True or False? There are increased outcomes with ulnar nerve decompression at the cubital tunnel with transposition compared to simple decompression.

Answer 7

False

Question 8

Which treatment method has been definitively shown in the literature to have a favorable outcome, and a high chance to return to pre-injury activities in patients with hook of the hamate fractures?

Answer 8

surgical excision

Question 9

Fanconi’s Anemia (FA), thrombocytopenia absent radius (TAR), Holt-Oram syndrome, VACTERL syndrome, and VATER syndrome are all associated with which pediatric limb deformity?

Answer 9

Radial clubhand (radial deficiency)

Question 10

Name four primary indications for hand replantation.

Answer 10

thumb, multiple digits, wrist level or proximal to the wrist, all most all parts in children

Question 11

When surgically treating a trigger finger in a child, what structure may need to be released in addition to the A-1 pulley?

Answer 11

One or both limbs of the FDS tendon

Question 12

In which race is post-axial polydactyly most common?

Answer 12

African Americans

Question 13

Which peripheral nerves have the most favorable regenerative potential in restoring motor function after a graft repair within half a year after being injured?

Answer 13

radial, musculocutaneous, and femoral nerves

Question 14

What are the primary deforming forces in Bennett and Rolando fractures?

Answer 14

abductor pollicus longus and adductor pollicus

Question 15

Should leeches be used for venous thrombosis/congestion or arterial thrombosis?

Answer 15

venous thrombosis/congestion

Question 16

What’s the most common associated condition with constriction band syndrome?

Answer 16

Club foot

Question 17

Which clinical syndrome is associated with the FGFR 2 genetic mutation?

Answer 17

Apert syndrome

Question 18

What vessel do the perforating arteries on a lateral forearm flap originate from?

Answer 18

Posterior radial collateral artery

Question 19

Approximately what percentage of pre-operative grip strength would be expected 3 months after carpal tunnel release?

Answer 19

100%

Question 20

What is the name of the pathologic structure that displaces the digital neurovascular bundle and places it at risk during during surgical treatment of Dupuytren’s disease?

Answer 20

spiral cord

Question 22

What are the three stages (Watson) of SLAC wrist?

Answer 22

1. Arthritis between scaphoid and radial styloid
2. Arthritis between scaphoid and entire scaphoid facet of distal radius
3. Arthritis between the capitate and lunate

Question 23

What is the most important variable when deciding between reconstruction versus ablation of a hypoplastic thumb?

Answer 23

carpometacarpal joint stability

Question 24

How long after flexor tendon repair should a child or mentally disabled adult be immobilized?

Answer 24

4 weeks

Question 25

What is the most important factor influencing immediate and late outcome of digit replantation?

Answer 25

mechanism of digit amputation injury