Tendon Disorders
A 55-year-old diabetic woman presents with painful clicking of her right ring finger that has progressively worsened over 3 months. She now has difficulty extending the finger after making a fist and sometimes has to manually straighten it. Examination reveals tenderness over the A1 pulley at the metacarpal head and palpable snapping during finger flexion and extension. The finger does not lock in flexion. Regarding trigger finger (stenosing tenosynovitis):
Mark each as TRUE or FALSE
Trigger finger is caused by stenosis of the A1 pulley with mismatch between the flexor tendon and pu...
The Green classification grades severity: Grade I (pain and tenderness), Grade II (triggering with a...
Trigger finger is caused by A2 pulley stenosis; the nodule is in the A1 pulley not the tendon; it is...
Corticosteroid injection into the flexor sheath is first-line treatment with 60-90% success; success...
Surgical A1 pulley release (open or percutaneous) is indicated for failed conservative treatment, Gr...
Answer the questions to see explanations
Click T (True) or F (False) for each option