4.4 of 28 Ratings
Please rate this review topic.
You have never rated this topic.
Thank you. You can rate this topic again in 12 months.
A 28-year-old female ski instructor sustained a fracture-dislocation of her index finger proximal interphalangeal joint (PIPJ) 10 years ago in a roller derby contest. The fracture was treated with distraction arthroplasty. The patient never retained functional range of motion. Additionally, since the injury, the patient has had increasing pain and a mild, progressive rotational deformity. Her radiograph is shown in Figure A. The patient is healthy with the exception that she is homozygous for factor V Leiden. She has attempted non-operative management but her symptoms are unbearable. What surgical intervention is the most appropriate for this patient?
PIPJ silicone arthroplasty
PIPJ pyrocarbon arthroplasty
Vascularized PIPJ transfer from the second toe
Select Answer to see Preferred Response
A 38-year-old woman complains of a painful finger mass of 4 months duration. A photograph of the mass is provided in Figure A. The decision is made to proceed with surgical excision. Which of the following is an advantage of surgical excision with joint debridement as opposed to aspiration?
Reduced rate of infection of the DIP joint
Less post-procedure pain
Improved DIP range of motion
Decreased risk of mass recurrence
Reduced risk of metastasis from seeding the mass into the joint
A 54-year-old gentleman presents to your office with a mass on top of the distal phalanx that has enlarged over the last nine months. His main complaint is significant tenderness to palpation over the mass. There is no pain with forcible movement of his fingers. A clinical photo is shown in Figure A. A dedicated radiograph of the distal phalanx is shown in Figure B. What treatment option is most appropriate for the best patient outcome?
Fusion of distal interphalangeal joint
Removal of bone spur and cyst
Obtain infectious work-up