QBank Flashcards
What area is most common Scaphoid Fracture?
Waist of the scaphoid (65% of the time)
Relocation of dorsal PIP displaced dislocation
Traction and volar pressure to middle phalanx
Incidence of AVN of proximal 5th Scaphoid Fracture
100%
Incidence of AVN of proximal 3rd Scaphoid Fracture
33%
What is the most common dislocation of MCP?
Dorsal displacement of index finger
Proximal third Scaphoid fracture, nondisplaced should be treated how?
Immobilized for 5 months
What is best xray to view Hook of hamate fracture (grounding a golf club)?
Carpal Tunnel View
Mallet Finger
Disruption of terminal extensor tendon distal to DIP joint
Cause of Mallet Finger
Sudden forced flexion
Mallet Finger indication for Operative TX
- Absolute indication = Volar subluxation of distal phalanx
2. Relative indications = A. > 50% articular surface involved B. > 2 mm articular gap
Pisiform fracture, what is indication for operative treatment?
Not healed after 8 weeks = pisiformectomy
What is Jersey Finger?
Avulsion of FDP
Ring finger involved in 75% cases
Jersey Finger treatment?
Surgical referral is always recommended
Colle’s Fracture
Distal radius DORSAL fracture
Smith’s Fracture
Distal radius VOLAR fracture
Boxer fracture
5th MetaCARPAL fracture
Jones fracture
5th MetaTARSAL fracture
Dupuytren’s disease assc with
HIV
Diabetes
Alcoholism
Autosomal dominant
What causes Triangular Fibrocartilage Complex Injury (TFCC)?
Fall on extended wrist with forearm in pronation
What is the recurrence of Dupuytrens disease after surgery?
50% recurrence
Most common cause of Ulnar Tunnel Syndrome
Ganglia
Treatment for dupuytren’s disease if patient does not want surgery?
Xiaflex (clostridial collagenase inj)
Most common osteoarthritis joint in the hand?
DIP
What is Bennet’s Fracture?
1st metacarpal fracture that extends into the 1st CMC, typically from a fist fight
Most significant risk factor for Thromboangiitis Obliterans?
This is Buerger’s disease.
Smoking greatest risk factor
Volar splinting of mallet finger can cause
Numbness of pulp of injured finger
