20240912 Tendon disorders P1 Dr Wong BH

A patient complains her thumb is occasionally stuck in a position as seen in Figure A. Surgical correction of this deformity places what structure is most at risk as it crosses the surgical field?

• A. Princeps pollicis artery

• B. Ulnar digital nerve

• C. Oblique pulley

• D. Ulnar digital nerve

• E. Radial digital nerve

50-year-old female referred to hand clinic for pain at left index finger. Upon examination, there is tenderness at A1 pulley of index finger. No catching or clicking. What is the best option of treatment for her.

• A. Splinting

• B. Corticosteroid injection

• C. Percutaneous release

• D. Open release

• E. Observation and reassurance

What are the good prognostic factors for steroid injection?

I. Single digits involvement

II. Palpable nodule

III. Short duration of symptoms

IV. Nondiabetic patient

• A. I and II

• B. II and III

• C. III, III and IV

• D. All above

A 45 year old female with diabetes mellitus was diagnosed to have trigger finger of right ring finger Grade II. The patient was given option of trial of steroid injection. What are the complications needed to be explained to her?

I. Rupture of tendon

II. Transient rise of blood sugar

III. Stiffness of MCPJ

IV. Numbness

• A. I,II

• B. II,III

• C. I,IV

• D. I,II,IV

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

• A. Minimizing surgical time to reduce patient discomfort.

• B. Using the same surgical approach for all patients

• C. Adequate exposure complete release and addressing contributing factors.

• D. Avoiding post-operative follow-up appointments.

• E. Administering corticosteroid injections during surgery