20231006 Tendon disorders P2 Dr Dominic

A 31-year-old woman presents with several months of worsening radial left wrist pain that started insidiously and worsens with gripping and grasping, and with picking up her nine-month-old son. She denies any specific trauma. Physical examination reveals tender minimal soft tissue swelling at the anatomic snuff box and radial styloid. She has limited motion of the thumb, with pain mostly in extension and abduction. Her sensory and vascular examinations are unremarkable. What would be the best treatment option?

• Corticosteroid injection into the first dorsal compartment

• Corticosteroid injection into the second dorsal compartment

• Open release of first dorsal compartment

• Splinting with NSAIDs

• Refer for physical therapy

A dragon boat rower complains of dorsal wrist pain for 6 weeks refractory to NSAIDs and splinting. Maximal tenderness is palpated on the dorsoradial forearm about 5cm proximal to wrist. Pain exacerbated with resisted wrist extension. Radiographs are unremarkable. Steroid injection is best administered to which compartment?

• APL and EPB

• ECRL and ECRB

• EPL

• APL and ECRB

• Brachioradialis tendon

Which is the most sensitive test among the manouvres listed to diagnose de Quervain’s tenosynovitis?

• Finkelstein’s test

• Eichoff’s test

• WHAT test

• Allen test

• Elson test

Which of the following sports is least associated with intersection syndrome

• Horse riding

• Weightlifting

• Car racing

• Badminton

• Rowing

A 38 year old female presented with recurrent radial-sided right wrist pain after open release of first dorsal compartment 3 months ago. Finkelstein’s test is positive. What is the most likely etiology?

• Volar subluxation of APL and EPB

• Failure to release APL subsheath

• Superficial radial nerve neuroma

• Failure to release EPB subsheath

• First carpometacarpal joint arthritis