Ortho Case of the Week – Hand Soft Tissue
Okay time to give you guys a “break” from bones (said no ortho bro ever). SOFT tissue, HARD core.
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?
- What are the four Kanavel Signs?
- What is the treatment?
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?
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?
- How would you treat it?
- How do you test the tendon functions of the individual digits on exam?
- Should you as an ED Doc attempt to repair flexor or extensor tendons of individual digits?