20230428 Quiz

Below are the findings in the above Plain radiograph of hand. EXCEPT:

• fingers DIPJ joint marginal osteophyte

• fingers PIPJ joint space narrowing

• gull wing erosion of DIPJ

• thumb CMCJ juxtaarticular sclerosis

Patient with plain radiograph A, complained of thumb pain during pinching. Which of the following 1st CMCJ injections offer best symptomatic improvement within 3 months?

• saline

• steroid

• hyaluronic acid

• all of the above are equally effective

• all of the above are equally detrimental

Which of the follow surgical treatment is best recommend for a 60yo patient with basal thumb arthritis shown in the above radiograph?

• 1st metacarpal close osteotomy

• LRTI with trapeziectomy

• 1st CMCJ arthrodesis

• CMCJ arthroscopic debridement

Which of the follow is NOT the general principle of arthrodesis:

• compression between 2 bone surface

• rigid fixation until complete surface union

• complete removal of all soft tissues interposed between both raw bone contact

• minimal and careful soft tissue exposure

Which of the below is FALSE for mucoid cyst

• permanent nail ridging is a complication of excision

• transillumination test can be negative

• surgical excision might require local flap for skin void coverage

• common in toes DIPJ