HAND OSCE (01/06/2020)
1.
2.
3.
Name the deformity
- Ulnar claw hand
Name the nerve involved
- Ulnar nerve
State the likely cause of this condition with justification
- Injury most likely due to the laceration on the forearm
1.
Describe the findings in the photograph of this patient’s right hand.
- Wasting of the thenar eminence, adduction of the thumb
2.
State the deformity.
- Ape’s hand
3.
Name the likely cause of this deformity.
- Injury to the median nerve
4.
State the expected area of sensory loss in this patient’s right hand.
- Area at thenar eminence and tip of the pointing/index finger.
5.
State the paraclinic investigation of choice for this patient and expected findings.
- Nerve conduction study.
Findings : velocity of nerve conduction is reduce at the median nerve.
1. State the diagnosis.
- Complete Scaphoid fracture, minimally displaced
2. Treatment :
- If fracture at proximal : surgery
- If fracture at the base and displaced : surgery
- If fracture at the base and undisplaced : conservative
3. What other sign can be elicited?
- Tenderness (fullness in the snuff box and scaphoid tubercle)
4. Cx
- AVN due to distal to proximal blood supply