Ortho Case of the Week - Hand Soft Tissue
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Case 1: 30-year-old female presents with right middle finger pain and swelling after getting bit by her cat 4 days ago, but she did not seek medical care at that time.
What is the feared diagnosis?
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What are the four Kanavel Signs?
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What is the treatment?
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Case 2: A 37-year-old male presents with right thumb pain after a skiing accident where he fell backwards with his right hand landing awkwardly on his pole. Plain films are pending. On exam he is unable to maintain a “pincer” grasp (thumb and index finger opposition) and has laxity at the MCP compared to the other side.
What is your working diagnosis? *
How would you treat it?
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Case 3: 26-year-old male presents after a rugby game with the exam below, unable to bend at the ring finger DIP.
What is the diagnosis?
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How would you treat it?
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How do you test the tendon functions of the individual digits on exam?
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Should you as an ED Doc attempt to repair flexor or extensor tendons of individual digits?
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