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Chapter 42. Hand Surgery

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All of the following are true about applying a cast to the hand, except

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A. The wrist should be extended 30 degrees

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B. The fingers should be flexed

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C. The thumb should be in the opposed (pronated) position

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D. The hand should be in the position of rest

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E. Fiberglass casting materials are preferred for their flexibility.

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D. The hand should be in the position of rest

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Incisions on the hand should be

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A. Never made on the palm

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B. Across lines of tension

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C. Only made along the medial and lateral surfaces of the fingers

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D. Zigzagged across lines of tension

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E. Carried perpendicularly across the wrist crease

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D. Zigzagged across lines of tension

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Major congenital hand anomalies

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A. Occur in about 1 in 10,000 live births

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B. Can include camptodactyly

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C. Are rarely accompanied by other anomalies (< 1%)

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D. Are not known to be associated with environmental factors

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E. Are usually treated by surgery delayed until after age 15 years

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B. Can include camptodactyly

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Stenosing tenosynovitis

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A. Can be treated by local injections of corticosteroid

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B. Is usually best treated by early surgery

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C. Is always associated with a locked tendon that is trapped and frozen in the tendon sheath

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D. Can be confused with trigger finger or thumb, and must be differentiated

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E. Can be improved with immobilization

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A. Can be treated by local injections of corticosteroid

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Management of carpal tunnel syndrome

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A. Typically requires emergent operation

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B. Cannot be done by endoscopic approaches

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C. Should be usually incision of the transverse carpal ligament, which forms the roof of the tunnel

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D. Is uncommon among ...

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