Skip to main content

Table 2 Distribution of hand and wrist conditions in ascending order of importance

From: What orthopaedic surgery residents need to know about the hand and wrist?

Question Number

Average Rank

SD Average Rank

Procedure/Content

Topic

 

2.4 to 2.8

  

Probably NOT IMPORTANT Items to learn how to do with proficiency during a residency training program

194

2.43

0.07

Procedure

Arthroplasty of the joints in the hand or fingers

177

2.69

0.06

Procedure

Diagnostic arthroscopy of the wrist

159

2.73

0.07

Procedure

Reconstruction of the collateral ligaments and/or volar plate of the metacarpal-phalangeal (MP) or interphalangeal(IP) joints of the hand

172

2.76

0.07

Procedure

Carpalmetacarpal (CMC) reconstruction

169

2.84

0.08

Procedure

Radical fasciectomy for Dupuytren's contractures

 

3.0 to 3.5

  

Items that are PROBABLY IMPORTANT ("Nice to Know") and perform with proficiency during a residency training program

141

2.98

0.08

Procedure

Synovectomy of the hand or fingers

214

2.98

0.08

Procedure

Arthrodesis of the intercarpal bone (Intercarpal Fusion)

170

3.06

0.07

Procedure

Tendon repair about the hand or wrist

158

3.2

0.07

Procedure

Open repair of the dislocated MP/IP joints of the hand

232

3.22

0.09

Procedure

Amputation and/or disarticulation through the hand

173

3.27

0.06

Procedure

Tenodesis or tenolysis of common tendons

140

3.3

0.06

Procedure

Synovectomy of the wrist

233

3.34

0.08

Procedure

Amputation and/or disarticulation through the MP joints

213

3.37

0.06

Procedure

Arthrodesis of the wrist (total or partial meaning radius and not the ulna)

231

3.37

0.08

Procedure

Amputation and/or disarticulation through the thumb

174

3.4

0.06

Procedure

Tenotomy of common tendons

234

3.4

0.07

Procedure

Amputation and/or disarticulation through the wrist

228

3.5

0.06

Procedure

Osteotomy in the adult population through the radial and ulnar side

 

3.6 to 3.7

  

Items that are IMPORTANT ("should know") and be able to perform with proficiency during a residency training program

136

3.6

0.06

Procedure

Arthrotomy of the hand or fingers

227

3.63

0.05

Procedure

Osteotomy of the distal radius and ulna

130

3.7

0.06

Procedure

Open reduction and internal fixation of the metacarpal bones

129

3.71

0.05

Procedure

Open reduction and internal fixation of the carpal bones (i.e.: scaphoid bone)

 

3.8 to 4.0

  

Items that are IMPORTANT ("MUST know") and be able to perform with proficiency during a residency training program

160

3.81

0.04

Procedure

Carpal tunnel release at the wrist

249

3.82

0.04

Procedure

Bone biopsy – superficial or deep

248

3.82

0.05

Procedure

Sequestrectomy and bone grafting

135

3.9

0.03

Procedure

Arthrotomy of the wrist

166

3.91

0.23

Procedure

Open repair of the distal radius and ulnar joint (DRUJ)

54

3.96

0.02

Content

Specify the signs and symptoms, outline the assessment and investigations, propose a differential diagnosis, outline the principles of management of a patient with a primary bone and/or soft-tissue tumor

128

3.98

0.02

Content

Fasciotomy for compartment syndrome of the upper extremity

147

3.98

0.02

Content

Open reduction and internal fixation of the distal radius and ulna in the adult population

250

4

0.01

Content

Bone graft harvesting from the iliac crest, distal radius and proximal tibia

263

4

0.01

Content

Manage a closed reduction of the distal radius and ulna in the pediatric population