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The Pediatric Thumb

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1.  The in hand manipulation skill that allows "use of thumb to move between fingers" is: Translation Rotation Shift Angulation

2.  The congenital condition of clasped thumb has all of the following functional limitations EXCEPT: Ability to hold onto an object Limited ability to grasp, especially larger items No or limited in hand manipulation Limitations in ability to oppose thumb to fingertips

3.  Congenital trigger thumb that is in a fixed position can be successfully treated by surgical release. All of the following statements are true EXCEPT: Surgery for trigger thumb involves the release of the A1 pully. Surgery is very successful when treating trigger thumb. Surgical release of trigger thumb requires intensive therapy after. Surgical release of trigger thumb requires no therapy after.

4.  Functional limitations of a Type 3A hypoplastic Thumb include: Limited thenar musculature Extrinsic tendon abnormalities Unstable CMC joint Both A and B

5.  Hypoplastic thumb functional limitations include all of the following EXCEPT: Instability Decreased size and position Increased size and position Limited first web space

6.  An important consideration when splinting the traumatically injured thumb is: Maintaining the 1st web space Immobilizing the IP joint Keeping it tight to the hand for protection Including the wrists

7.  Post op therapy following UCL/MCL surgery includes which of the following? Orthosis for healing and protection Exercise Functional use All of the above

8.  Therapy following a digit amputation includes all of the following EXCEPT: Wound care/scar management Taping Exercise Functional adaptations

9.  Congenital laxity can result in which of the following impact on function? Decreased ability to pinch forcefully Handwriting pain Fatigue with use All of the above

10.  A treatment method to address laxity is: Splinting Exercise of surrounding muscles Taping All of the above