Mis

Question 1

Sequence of replantation

Answer 1

BEFANV

Bone extensor flexor artery nerve vine

Question 2

Hand deformity

Answer 2

Boutonniere : central slip ; PIP flex DIP ext
Swan neck : voalr plate PIP ext DIP flex
Claw hand ; internis minus MCP hyperextended IPs flexd
Lumbrical plus : IP extension when trying to flex
FDP lacerations
Qudrigia effect : IP inability to fully flex adjecent to injured FDP

Question 3

Palsy ;

Answer 3

Radial palsy ;
PT - ECRB, FDS/FCR/FCU — EDC , PL—-EPL

ULNAR plasy :
FDS, ECRB to ADD p

Median nerve :
opposition,, FDS ring to abd or EIP
Thumb IP flexion : BR to FPL
INDEX LONG : FDP of small amd ring

Question 4

Tendon repair

Answer 4

Core sutures: 4 strand , 10mm from edge 3-0/4-0 ethibond

Epitendon; 6-0 nylon , simple running

Question 5

CMC Ligament

Answer 5

Acessory in extension حروف للعله

Proper in flexion PF

Question 6

Dupytrens pathology

Answer 6

MCP: pertemdionus cord spiral cord
PIP lateral cord spiral cord
Dip lateral cord
Web space natatory cord

Question 7

Tendon transfer principle

Answer 7

• Excursion 3-5-7 wrist-MCP-PIP/DIP
• priorities: elbow flexion-shoulder stablizaio -brachothorcic pinch - sensation C6/7 - wrist extensions hand flexion
• basic: donor expendable/ similar excursion/ one function/ synergistic / straight line/ one grade will be lost