Tendon Disorders
A 55-year-old woman with diabetes presents with painful clicking of her right ring finger that has been worsening over 3 months. She reports the finger "locks" in flexion, especially in the morning, and she must use her other hand to straighten it. Examination reveals tenderness over the A1 pulley with a palpable nodule on the flexor tendon and triggering with active finger movement. Regarding trigger finger (stenosing tenosynovitis):
Mark each as TRUE or FALSE
Trigger finger results from a size mismatch between the flexor tendon and the A1 pulley at the metac...
Clinical grading: Grade I (pain and tenderness without triggering), Grade II (triggering that the pa...
Trigger finger is caused by A2 pulley pathology; the thumb is rarely affected; diabetes is protectiv...
Non-operative treatment includes corticosteroid injection into the tendon sheath (70-90% effective f...
Surgical treatment (A1 pulley release) is indicated for failed injections, Grade IV locked trigger, ...
Answer the questions to see explanations
Click T (True) or F (False) for each option