Hand Flashcards
Treatment of hook of hamate fracture or pisiform nonunion
surgical excision
indications for healing by secondary intention
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
options for flaps
cross or reverse cross finger flap
thumb - moberg if
Is there any advantage of hylan over steroid for thumb OA
no
How does allopurinol help with replantation
inhibits conversion of hypoxanthine to xanthine to help prevent ischemia
nerve at risk with trigger thumb
radial digital nerve
pain distal to the lateral epicondyle with pain with extension of the first finger
radial tunnel syndrome
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
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
order of replantation
bone extensor artery venous flexor nerve skin
do artery sooner if > 3hrs ischemia
Load taken by the wrist in neutral ulnar variance
80% radius
20% ulna
Treatment of boxers knuckle and rupture of extensor hood
extension splinting if presents with-in 3 weeks of injury
best way to reduce infection following CTS release
standard sterilization and prepping
seymor fracture
nailbed injury with physeal fracture
I&D
reduction
nail bed repair
immobilization
