Chapter 44: Hand Surgery

Chapter 44. Hand Surgery

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

A. The wrist should be extended 30 degrees.

B. The fingers should be flexed.

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

D. The hand should be in the position of rest.

E. Fiberglass casting materials are preferred for their flexibility.

The correct answer is D. The hand should be in the position of rest

Incisions on the hand should be

A. Never made on the palm

B. Across lines of tension

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

D. Zigzagged across lines of tension

E. Carried perpendicularly across the wrist crease

The correct answer is D. Zigzagged across lines of tension

Major congenital hand anomalies

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

B. Can include camptodactyly

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

D. Are not known to be associated with environmental factors

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

The correct answer is B. Can include camptodactyly

Stenosing tenosynovitis

A. Can be treated by local injections of corticosteroid

B. Is usually best treated by early surgery

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

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

E. Can be improved with immobilization

The correct answer is A. Can be treated by local injections of corticosteroid

Management of carpal tunnel syndrome

A. Typically requires emergent operation

B. Cannot be done by endoscopic approaches

C. Should usually include incision of ...