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Hand IV

An 11-year-old presents with 6-month history of groin pain. X-rays and biopsy specimen are shown in Figure A and B. What is the etiology of the lesion?

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Hand III

Figures 3a and 3b are the radiographs of a 62-year-old right-hand-dominant woman who has right wrist pain. Thirty years ago, she underwent scapholunate ligament repair. She never fully regained wrist motion or strength and reports that her pain and stiffness have progressed substantially during the last 5 years. An examination reveals decreased wrist flexion and extension and tenderness along the radiocarpal joint. She attempted bracing and corticosteroid injections without experiencing lasting symptom relief. Which surgical treatment will most likely provide pain relief and preserve motion?

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Hand II

A router injury leaves a skin and soft-tissue defect over the volar middle phalanx of the long finger for a 32-year-old healthy man. There is a 2.2-cm x 1.2-cm area of exposed flexor tendon without tenosynovium. What is the best option for defect coverage?

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Hand I

A 25-year-old man has an acute scaphoid fracture in the proximal third of the scaphoid. The fracture is displaced 1 mm and has a lateral intrascaphoid angle of 55 degrees (a normal angle is about 45 degrees). What is the best next step?

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