20241213 Wrist Disorders Part 5 - Dr Trysha

64 year old female sustains a distal radius fracture managaed conservativey. She has a sudden loss of ability to extend her thumb after 3 months. What is the most likely etiology of her loss of function?

• A) PIN entrapment

• B) EPL rupture

• C) EPL entrapment

• D) Distal radius malunion

• E) Intersection Syndrome

A 57-year-old woman underwent open reduction internal fixation from a volar approach for a displaced distal radius fracture. Immediate post-operative radiograph is seen in Figure A. The patient recovered well initially but presents after 6 months with grip weakness. What complication is most likely to occur in this patient?

• A) Inability to extend index finger IPJ

• B) Inability to extend the thumb IPJ

• C) Inability to abduct the thumb

• D) Inability to flex the thumb IPJ

• E) Inability to flex index finger IPJ

Upon discharge after plating of a distal end radius fracture, a 17 year old male is prescribed with daily Vitamin C 500mg supplementation. What complication is this trying to reduce?

• A) Upper extremity deep vein thrombosis

• B) Complex regional pain syndrome

• C) Surgical Site infection

• D) Delayed wound healing

• E) Acute carpal tunnel syndrome

A 28 year old female sustained a closed distal radius fracture that was managed conservatively. She presents 1 year later with wrist pain. What is the appropriate management for her?

• A) Distal radius corrective osteotomy

• B) Proximal row carpectomy

• C) Interposition arthroplasty

• D) Sauvage Kapandji procedure

• E) Total wrist fusion

A patient reports hyperesthesia over the base of the thenar eminence following plating of a distal radius fracture. A standard volar approach of Henry was used. What is the most likely cause of the hyperesthesia?

• A) Complex Regional Pain Syndrome

• B) Wartenberg’s syndrome

• C) Carpal tunnel syndrome

• D) Palmar cutaneous branch of median nerve injury

• E) C7 radiculopathy