Surgical approaches in the hand and wrist and arthroscopic access

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QUESTION 1 OF 2

A 52-year-old manual worker presents to the ED after amputating part of his little finger with a circular saw. On examination he has a jagged dirty wound at the level of the PIPJ. He hands you the amputated digit which he recovered from the scene. The amputated digit has no evidence of vessels or nerves on inspection. X-rays show severe comminution of the middle and distal phalanges of the amputate.
What advice are you going to give him when he asks what can be done for his finger?

QUESTION ID: 1077

1. A. Amputation at the level of the MCPJ
2. B. Ray amputation
3. C. Replantation
4. D. Terminalisation
5. E. Wound debridement and closure in the ED
Submit Response

QUESTION 2 OF 2

A 52-year-old manual worker presents to the ED after amputating part of his dominant thumb with a circular saw. On examination he has a jagged dirty wound at the level of the MCPJ. He hands you the amputated digit which he recovered from the scene. The amputated digit has no obvious vessels or nerves on examination. X-rays show severe comminution of the proximal and distal phalanges of the amputated thumb.
What is the most appropriate management of this patient?

QUESTION ID: 1078

1. A. Amputation at the level of the MCPJ
2. B. Ray amputation
3. C. Replantation
4. D. Terminalisation
5. E. Wound debridement and closure in the ED
Submit Response