v4.1 Fusion X
Hand injuries require careful assessment of bone, joint, tendon, ligament, nail bed and neurovascular structures. Metacarpal and phalangeal fractures are common, with rotational deformity being particularly poorly tolerated. Important thumb injuries include Bennett and Rolando fractures, UCL injuries and MCP dislocations. Tendon injuries such as mallet finger, jersey finger and central slip injuries must be recognised early to prevent lasting deformity. Successful treatment depends on restoring alignment and stability while avoiding unnecessary immobilisation and starting controlled hand movement as early as safely possible.
A 25-year-old male presents with a fifth metacarpal neck fracture after a boxing match. On examination, there is significant rotational deformity. What is the most approp...
What is the most common type of fracture involving the thumb?
A patient presents with a history of a fall on an outstretched hand. On examination, there is loss of the knuckle prominence of the little finger. What injury should be s...
In a patient with a suspected Jersey finger, what examination finding would you most likely observe?
What is the best initial imaging modality to assess a suspected phalangeal fracture?
Which of the following is NOT a common complication of untreated tendon injuries in the hand?
A 30-year-old patient presents with a dislocated thumb at the MCP joint after a fall. What is the most critical step in the initial management of this injury?
In assessing a hand injury, which of the following is NOT part of the neurovascular assessment?
A patient presents with an open fracture of the index finger sustained during a kitchen accident. What is the most important factor to consider in the management of this...
What is the key principle in the management of hand fractures to prevent functional impairment?