The Rheumatoid Hand

Chapter 21 of Volume 1, Hand & Upper Limb. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

19 viva questions in this chapter

1. Describe this hand.
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2. How would you examine this hand?
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3. She cannot extend the ulnar three digits. What is going on?
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4. What is rheumatoid arthritis?
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5. How is the diagnosis made?
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6. How is rheumatoid arthritis managed medically in the UK?
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7. What can be done for this hand without operating?
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8. This patient is listed for surgery. What are your perioperative concerns?
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9. How do you decide whether and when to operate?
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10. Take me through the rheumatoid wrist.
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11. Take me through a dorsal wrist tenosynovectomy.
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12. What would you do about the distal ulna?
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13. Fusion or replacement for this wrist?
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14. She has ruptured EDC to the ring and little fingers. What will you do?
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15. Talk me through a silicone MCP joint arthroplasty.
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16. Classify and manage this swan-neck deformity.
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17. And boutonnière?
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18. What about the thumb?
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19. She has a trigger finger. What would you do?
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