Hand II Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Question 2)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? Select the Correct AnswerFull-thickness skin graftSplit-thickness skin graftFirst dorsal metacarpal artery flapMoberg advancement flapCross-finger fapCorrect Answer: Cross Finger Flap Explanation: The patient is this example has older than 30 years old, with more than 2 cm of skin loss. Given the presence of exposed tendon a flap reconstruction is required. Moberg flaps are best for volar thumb defects that are less than 2cm. First Dorsal Metacarpal artery flaps are for dorsal thumb defects or volar thumb defects greater than 2 cm. Hand Answer to Question 2: Cross finger flap example References: Source: 2016 AAOS OITE Eberlin KR, Chang J, Curtin CM, Sammer DM, Saint-Cyr M, Taghinia AH. Soft-tissue coverage of the hand: a case-based approach.. PMID: 24105089. Rehim SA, Chung KC. Local flaps of the hand. PubMed PMID: 24731606 Wrong Answer: Please try again! Submit Post navigation Previous QuestionHand INext QuestionHand III
