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The Treatment of the Pediatric Hand Patient: Part II "Congenital Conditions"

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1.  What distinguishes Type IIIA from Type III B thumb deficiency? Thumb index web space narrowing Unstable CMC joint Extrinsic tendon abnormalities Absent distal phalanx

2.  A primary functional limitation for a child with an absent thumb is: Inability to grasp large items Inability to grasp small items Inability to hold items Inability to release items

3.  One primary treatment objective following syndactyly release is: Increase digital extension for release of objects Increase grip strength to allow opening objects Desensitization Maintaining the web space

4.  A functional change following syndactyly release may include all with the exception of: Improved ability to perform spherical grasp Improved cosmesis Increased grip strength Increased span of grasp

5.  The most challenging age to keep a splint on a child is: 12-18 months 18 months-4 years 4-7 years 7-12 years

6.  A primary functional limitation of a child with a congenitally absent hand include all with the exception of: Grasping Manipulating Carrying Fastening

7.  What period of development is a critical time for children with congenital hand differences? Adolescence Toddler School Age All of the above

8.  What is not a primary concern following excision of a pre-axial polydactyly ? Limited digital motion MP joint stability Hypersensitivity Tight 1st Web space

9.  A child with an absent hand would not be able to do which activity? Play baseball Tie his/her shoes Open a bottle None

10.  Following a pollicization or opponensplasty, the thumb should be splinted in what position? Radial abduction Palmar abduction Full extension Full flexion