Thumb Hypoplasia

Chapter 30 of Volume 1, Hand & Upper Limb. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

10 viva questions in this chapter

1. This child has a small thumb. How would you assess them?
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2. What investigations would you arrange, and why?
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3. How do you classify it, and what is the single decision that matters?
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4. Walk me through reconstruction of a type II or IIIA thumb.
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5. What is a pollex abductus, and why does it matter?
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6. What results would you quote the parents?
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7. When and why do you pollicise?
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8. Take me through the operation.
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9. What would you consent for?
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10. The parents refuse to have the thumb removed. What now?
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