Tendon Disorders
A 55-year-old woman with type 2 diabetes presents with painful clicking and locking of her right ring finger at the MCP joint level. She has had symptoms for 4 months. On examination, there is a palpable nodule over the A1 pulley, and the finger locks in flexion requiring passive extension. She has not had any previous treatment. Regarding trigger finger:
Mark each as TRUE or FALSE
Trigger finger (stenosing tenosynovitis) results from size mismatch between the flexor tendon and A1...
Quinnell classification: Grade I (pain and tenderness without triggering), Grade II (triggering but ...
The pathology is at the A2 pulley; men are affected more commonly than women; diabetes has no associ...
Corticosteroid injection into the flexor sheath is first-line treatment with 60-90% success rate; di...
The A1 pulley lies over the metacarpal head and MCP joint; the A2 pulley (proximal phalanx) and A4 p...
Answer the questions to see explanations
Click T (True) or F (False) for each option