Loading....
Coupon Accepted Successfully!

Orthopaedic

Open Flashcards

Nerve Injuries

Question
26 out of 51
 

In a 50 year diabetes / alcoholic patient, presented with 15 degree flexion deformity of the little finger what is the most appropriate management.



A Wait and watch

B Sub total fasciectomy

C Total fasciectomy

D Percutaneous fasciotomy

Ans. A

Wait and watch

Dupytrens contracture

a. This is nodular hyper trophy and contra cture of palmar aponeurosis

b. Higher incidence in epileptics receiving phenytoin therapy, diabetics, alcoholic cirrhosisQ, AIDS, pulmonary tuberculosisQ

c. Flexion contracture most commonly occur atMP jointQ. > PIP joint > DIP joint
- Ring finger is most commonly involvedQ > little finger

Treatment

Primary indication of surgery is fixed contracture of >300 at MP joint and 15 degrees at PIP joint.

a. Surgery does not cure the disease, it only partially corrects the deformity –subtotal fasciectomy is the

b. procedure of choice.

c. Fasciotomy inadequate correction.

d. Total fasciectomy higher complications-hematoma/fibrosis.

Nerve Injuries Flashcard List

51 flashcards
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
29)
30)
31)
32)
33)
34)
35)
36)
37)
38)
39)
40)
41)
42)
43)
44)
45)
46)
47)
48)
49)
50)
51)