4.1 of 43 Ratings
A 28-year-old male injures his hand while playing basketball and presents to the emergency room. Closed reduction is performed and is stable. Post-reduction rehabilitation is discussed with the patient. Which of the following radiographs demonstrates an injury that would be treated best by dorsal extension block splinting?
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What is the most frequently encountered form of osseous injury associated with dorsal proximal interphalangeal joint(PIP) fracture-dislocations?
Middle phalanx palmar lip fractures
Proximal phalanx extraarticular fractures
Middle phalanx dorsal lip fractures
Middle phalanx dorsal and palmar lip fractures (pilon)
Proximal phalanx palmar lip fractures
A 27-year-old man falls on his hand at work. He notices an immediate deformity of his ring finger. Radiographs are provided in Figure A. Which of the following is the most appropriate initial treatment?
Closed reduction, buddy taping, and early motion to prevent stiffness
Closed reduction and full time extension splinting
Open reduction and repair of the central slip of the extensor tendon
Open reduction and repair of the volar plate
Amputation and immediate return to work
A 20-year-old football player presents with a one week history of right index finger pain which started after his hand got caught in a face mask during a tackle. Physical exam shows swelling of the digit with no breaks in the skin, and no active flexion. AP, lateral, and oblique radiographs are provided in Figures A, B, and C respectively. Which of the following structures most often prevents closed reduction of this injury?
A collegiate baseball player injures his left small finger sliding into third base. He complains of pain and swelling. The finger is ecchymotic, swollen throughout, and painful with attempted range of motion of the PIP joint. No sensory or vascular deficits are present. A radiograph is provided in Figure A. Which of the following interventions will provide the best outcome?
Buddy taping the small finger to the ring finger
Immobilization of the MCP in flexion and the PIP and DIP in extension with a custom splint
Open reduction internal fixation
PIP joint arthrodesis