Hand - SA

  1. List 6 principles of tendon transfers
    • Supple joint
    • SYnergistic action
    • Expandable donor
    • Strenght 4+ or greater
    • Appropriate excursion
    • Tendons in phase
  2. A patient sustains a posterior shoulder dislocation. Shown an x-ray of a reduced shoulder with a large reverse hill-sachs lesion. List 3 reasonable surgical treatment options
    • MOdified mclaughlin procedure: Transfer of LT into defect
    • Hemiarthroplasty
    • ROtational osteotomy
    • Allograft
  3. List 3 possible mechanisms for a SLAP lesion
    • Forceful traction
    • Repetitive overhead activity
    • DIrect compression load
  4. List the 4 progressions for perilunar instability
    • SL tear
    • SL + CL
    • SL + CL + LT
    • Lunate dislocation
  5. A patient has lunate AVN. List the 4 stages
    Keinbochs disease

    • Stage 1: normal x rays, MRI changes
    • Stage 2: Lunate sclerosis
    • Stage 3A: Lunate collapse with normal carpal height
    • Stage 3B: Lunate collapse and proximal migration of capitate and scaphoid felxion
    • Stage 4: scaphoid collapse with perilunate OA
  6. 55 year-old patient has ulnar head, triquetral pain. Normal ROM and stable wrist. Active woman and cannot play tennis anymore. a. list 3 possible diagnoses b. the patient has hyperintensity on an MRI and needs a wrist scope. List the dorsoradial and dorsoulnar portals. c. list 6 stabilizers of the DRUJ.
    • A
    • DRUJ injury
    • TFCC tear
    • Ulnocarpal impaction
    • Lunotriquetral ligament tear
    • ECU tendonitis

    • B
    • 1-2
    • 3-4
    • 4-5
    • 6R
    • 6U

    • C
    • Dorsal RU ligament
    • Volar RU ligament
    • ECU tendon
    • IOM
    • Sigmoid notch and ulnar head
    • PQ
  7. RA patient with decreased extension of 4th and 5th digits. List 3 possible reasons for this
    • VAughn Jackson: Ulnar extensor tendon ruptures
    • Ulnar subluxation of extensor tendon: sagittal band rupture
    • MCP dislocation
  8. A patient with PIN/radial tunnel syndrome. List 3 possible compression sites
    • Leash of henry at radiocapitellar joint
    • Proximal edge of ECRB
    • Arcade of frohse: proximal supinator
    • DIstal supinator
  9. List four indications for a hemi-resection interpositional arthroplasty of the distal radioulnar joint of the wrist?
    • OA
    • DRUJ intability
    • Fracture ulnar head not amenable to fixation
    • Ulnocarpal impaction with DRUj incongruity
  10. Give the 4 types of SLAP tears.
    SNyder classification

    • Degenerative
    • COmplete detachment of bicep anchor from superior labrum
    • Bucket handle tear with intact bicep anchor
    • Bucket handle tear including bicep tendon
  11. List 3 anatomic causes of swan neck deformity in a RA patient as a result of synovitis.
    • FDS rupture
    • PIP synovitis
    • Mallet finger
    • Attenuation of collateral ligament
    • Attenuation of volar plate
  12. Define the 4 borders of the quadrangular space and its content
    Borders: Teres major, Teres minor, long head of tricep, humerus

    COntents: Posterior circumflex A, axillary nerve
  13. List the 2 muscles that surround the radial nerve after it pierces the intramuscular septum.
    • Brachialis
    • Brachioradialis
  14. Other than medical comorbidities or tear characteristics, list 4 patient factors that are predictive of poor healing of the rotator cuff tear following surgery
    • Diabetes
    • Smoking
    • Osteoporosis
    • Age >65
  15. List 4 successful things to non-operatively manage carpal tunnel syndrome
    • NSAID's
    • Night splinting
    • Corticosteroids
    • Activity modification
  16. List the 5 structures of the shoulder superior suspensory complex (SSSC)
    • Distal clavicle
    • AC ligament
    • CC ligaments
    • Coracoid
    • Glenoid
    • Acromion
  17. List 2 motion sparing techniques to manage a stage II SLAC wrist
    • PRC
    • 4CF
  18. List 4 possible compression sites for the AIN from the elbow to the forearm
    • BTW 2 heads of PT
    • FDS arch
    • Accessory muscles
    • Aberrant vessels
  19. Define these terms regarding syndactyly: complex, complete, synonychia
    • COmplex: involves bones
    • COmplete: skin fused up to tip of fingers
    • Synonychia: 2 nailbeds fused
Author
egusnowski
ID
345814
Card Set
Hand - SA
Description
Hand sa
Updated