20230929 Quiz Tendon disorders P1 - Dr Suraya

What component (pulley) of the flexor tendon sheath is commonly involved in trigger finger?

• A1

• A2

• A4

• C1

• C2

A 32-year-old gentleman has a flexion deformity of the interphalangeal joint of his thumb as seen in Figure A. Surgical correction of this deformity places what structure most at risk as it crosses the surgical field?

• Princeps pollicis artery

• Ulnar digital nerve

• Oblique pulley

• Ulnar digital artery

• Radial digital nerve

A 40 years old lady has been experiencing significant pain & difficulty while playing piano especially when trying to flex & extend her right ring finger. She notices a clicking sensation in the finger and it occasionally locks in a bent position. Which of the following terms is commonly used to describe his condition?

• Carpal tunnel syndrome

• De Quervain’s tenosynovitis

• Trigger finger

• Tennis elbow

• Dupuytren’s contracture

What would be an appropriate initial treatment option for her trigger finger?

• Immediate surgical release

• Splinting and anti-inflammatory medications

• Corticosteroid injection

• Physical therapy exercisea

• See her again in next appointment

As a surgeon doing performing A1 pulley release surgery, which of the following is crucial for achieving a successful outcome and preventing recurrence?

• Minimizing surgical time to reduce patient discomfort

• Using the same surgical approach for all patients

• Adequate exposure, complete release and addressing contributing factors

• Avoiding post-operative follow up appointments

• Administering corticosteroid injections during surgery