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Published byEzra Bryant Modified over 9 years ago
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Finger trauma Quiz 4 5/2/1387
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24 y male Sport hand injury With painful stiff middle finger Xray was taken
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Residents grade 2 & 3 Explain the Xray What is the treatment of the patient ? What is the prognosis?
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The patient was treated in a short arm splint for 3 weeks X rays after one month and three months are as follow
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After one month
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3 months later
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Clinical picture 3 months post injuy is as follow
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3 m after injury
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ROM of PIP and DIP is about 5-10 degrees
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Residents grade 3 What are the options for treatment? (With references)
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1the first answer (acceptable) 1the best answer 1innovation rz_kamrani@yahoo.com
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PIP Close up one month
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PIP Close up three months
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Limited ROM three months after injury 0-10 degrees
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Volar app.
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Proximal phalanx Middle phalanx Normal articular surface Middle phalanx Treamed articular surface
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Distal hamate articular surface
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Hamate Middle Phalanx
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Intra-operative Carm control
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Post-op ◦Dorsal extension block ◦Progressive extension of the PIP
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One month post-op
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After 4 months
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