Soft Tissue Injuries of the Hand

Clinical Presentation

3 Topics

Evaluation Process

Recognition of Soft-tissue Hand Injuries

Flexor and Extensor Tendons

9 Topics

Flexor Tendon Injury Zones

Finger Extension

Extensor Tendon Injury Zones

Question: The Thumb

Question: Nerve Injury

Flexor Tendon Injuries

3 Topics

Tendon Evaluation Tests

Question: Tendon Evaluation

Extensor Tendon Injuries

9 Topics

Mallet Finger (Zones I and II)

Rupture or Division of the Central Slip

Lacerations (Zone IV)

Open Zone V Injuries

Closed Zone V Injuries

Zone VI Injuries

Zone VII and VIII Injuries

High Pressure Injection Injury

Fingertip Injuries

6 Topics

Fingertip Anatomy

Fingertip Amputations

Question: Transverse Amputations

Fingertip Amputations (Hand Specialist)

Question: Fingertip Amputations

Nail Bed Injuries

3 Topics

Subungual Haematoma

Lacerations and Avulsions

Injuries to the Ulnar Collateral Ligament of the Thumb

4 Topics

Injuries to the UCL of the Thumb

UCL Anatomy and Function

Diagnosis and Treatment

Question: UCL Injuries

3 Topics

Soft Tissue Injuries of the Hand

Case 2

Soft Tissue Injuries of the Hand Clinical Cases Case 2

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Question 1 of 2

1. Question
A young female patient attends the ED after being involved in a public house altercation involving fisticuffs and broken glass. She has multiple lacerations to the right hand. Match up the tendon injury zones and the injury descriptions.
Sort elements
- Zone I extensor tendon injury
- Zone II flexor tendon injury
- Zone III extensor tendon injury
- Zone V extensor tendon injury
- Mallet deformity middle finger
- Deep cut to flexor aspect proximal phalanx ring finger
- Boutonnière deformity index finger
- Open wound dorsum MCP joint finger
Correct

Incorrect
Question 2 of 2

2. Question
This patient also complains of altered sensations in her right hand. Regarding nerve injuries, which one of the following statements is correct?
- Repair of digital nerves should only be undertaken on the ulnar aspect of the little finger and radial aspect of the index finger
- The two-point discrimination test should be repeated for improved accuracy
- Denervated skin tends to wrinkle more when in water
- Running a plastic pen against the side of a denervated finger usually results in increased friction - 'the tactile adherence test'
- Early primary digital repair usually results in return of normal sensation
Correct

Incorrect