ABOS Part I Comprehensive Review - Batch 71

Question 1

A 62-year-old male of Northern European descent presents with progressive flexion deformities of his right hand. He reports difficulty fully extending his ring and little fingers, which interferes with donning gloves and washing his face. On examinat

Accepted Answer

The presence of a positive tabletop test and significant MCP and PIP joint contractures are clear indications for surgical intervention, with regional fasciectomy being the gold standard.

Question 2

A 55-year-old carpenter presents with a progressive flexion contracture of his left ring finger. He reports difficulty gripping tools and shaking hands. Physical examination reveals a dense cord extending from the palm into the ring finger, causing a

Accepted Answer

Spiral cord

Question 3

A 70-year-old male presents for follow-up after a regional fasciectomy for a severe Dupuytren's contracture of his small finger 6 months ago. He initially achieved excellent correction, but now reports a gradual return of a flexion deformity at the P

Accepted Answer

Given the recurrence and presence of Garrod's pads, a dermofasciectomy with full-thickness skin grafting should be considered for definitive management.

Question 4

A 48-year-old male presents with a 25-degree flexion contracture of his right ring finger MCP joint and a 10-degree flexion contracture of the PIP joint. He is able to flatten his hand completely on a tabletop. He reports no functional limitations bu

Accepted Answer

Observation with regular follow-up, as the contractures do not meet conventional surgical thresholds and he has no functional impairment.

Question 5

A 68-year-old male is undergoing a regional fasciectomy for a severe Dupuytren's contracture of his left little finger. The surgeon has identified a spiral cord causing a significant PIP joint contracture. To minimize the risk of neurovascular injury

Accepted Answer

Trace the neurovascular bundles proximally and distally into healthy tissue before approaching the area of dense scarring and cord involvement.

Question 6

A 58-year-old male undergoes a regional fasciectomy for a severe Dupuytren's contracture of his right ring finger. Post-operatively, on day 3, he develops significant pain, swelling, and ecchymosis in the palm and digits, with some blistering of the

Accepted Answer

Hematoma; elevate the hand, apply compression, and consider surgical evacuation if expanding.

Question 7

A 72-year-old patient with a history of severe Dupuytren's contracture of the ring and little fingers, previously treated with multiple regional fasciectomies, presents with recurrent, aggressive disease. The skin over the affected areas is tightly a

Accepted Answer

Dermofasciectomy with full-thickness skin grafting.

Question 8

A 60-year-old male underwent a regional fasciectomy for a severe PIP joint contracture of his ring finger. Post-operatively, the surgeon decided to insert a temporary K-wire across the PIP joint. Based on the provided case information, what is the pr

Accepted Answer

To maintain extension for 2-3 weeks; however, it may increase stiffness risk.

Question 9

A 50-year-old male is scheduled for a regional fasciectomy for a Dupuytren's contracture of his right small finger. During pre-operative planning, the surgeon is reviewing the patient's history. Which of the following historical factors, if present,

Accepted Answer

Diagnosed epilepsy managed with phenobarbital.

Question 10

A 65-year-old male is 2 weeks post-regional fasciectomy for a severe Dupuytren's contracture of his left ring finger. He had a K-wire placed across his PIP joint, which was removed today. He is now entering the early mobilization and splinting phase

Accepted Answer

Commencement of intensive hand therapy with custom-fabricated static extension night splinting.

Orthopaedic Surgery Board Exam Review: ABOS Part I & AAOS OITE Prep Questions | Part 22210

ABOS Part I Review: Dupuytren's Contracture & Mallet Finger Management | Part 22300

Key Takeaway