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Weekly Quiz 20 - Hand Fractures
Quiz by Miguel Dorante
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​ A 29-year-old man comes to the office because of pain and the inability to flex the little finger of his dominant right hand 6 weeks after injuring it during a recreational football game. He reports that he “jammed” the finger and then pulled it back into place. He did not seek medical care at the time of the injury. He is concerned about maintaining an active lifestyle and preserving the maximum range of motion. Physical examination shows the inability to flex at the proximal interphalangeal joint. Lateral x-ray study of the finger is shown. Which of the following is the most appropriate management?
Arthrodesis
Dynamic external fixation
Hemi-hamate arthroplasty
Open reduction and internal fixation
Silicone implant reconstruction
A 22-year-old man who has consumed alcoholic beverages punches a concrete wall with both hands and sustains multiple metacarpal fractures. Which of the following will cause the most significant long-term hand impairment in this patient?
A 29-year-old man comes to the office because of pain and the inability to flex the little finger of his dominant right hand 6 weeks after injuring it during a recreational football game. He reports that he “jammed” the finger and then pulled it back into place. He did not seek medical care at the time of the injury. He is concerned about maintaining an active lifestyle and preserving the maximum range of motion. Physical examination shows the inability to flex at the proximal interphalangeal joint. Lateral x-ray study of the finger is shown. Which of the following is the most appropriate management?
A 45-year-old woman is evaluated for a dorsal oblique amputation of the tip of her index finger sustained when she was cutting vegetables with a sharp knife. X-ray studies and physical examination show tuft exposure. Which of the following is the most appropriate management?Â
A 32-year-old construction worker sustains an amputation of the long finger of the dominant right hand through the mid portion of the nail plate. Which of the following structures is most likely injured?Â
A 65-year-old right-hand–dominant man comes to the office because of Dupuytren contracture of the metacarpophalangeal joints of the ring and little fingers of the left hand with a 40-degree flexion deformity of the proximal interphalangeal (PIP) joint of the little finger. The PIP joint of the ring finger is not involved. He has no history of trauma. Palmar fasciectomies are performed, but no improvement of the little finger PIP joint contracture is noted intraoperatively. Which of the following is the most appropriate nextstep?Â