Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Trigger Finger & de Quervain

Trigger finger: stenosing tenosynovitis of flexor tendon sheath (A1 pulley). Symptoms: painful clicking/locking of finger; risk in diabetics, RA. De Quervain: stenosing tenosynovitis of APL & EPB tendons in 1st dorsal compartment. Finkelstein’s test positive; pain over radial styloid. Management: splints, steroid injection, surgical release if persistent.

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Trigger finger: stenosing tenosynovitis of flexor tendon sheath (A1 pulley). Symptoms: painful clicking/locking of finger; risk in diabetics, RA. De Quervain: stenosing tenosynovitis of APL & EPB tendons in 1st dorsal compartment. Finkelstein’s test positive; pain over radial styloid. Management: splints, steroid injection, surgical release if persistent.
MCQs

High-yield practice questions

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Question 1

What is the most common digit affected by trigger finger?

Question 2

Which of the following conditions is NOT commonly associated with trigger finger?

Question 3

What is the primary mechanism of symptoms in trigger finger?

Question 4

Which grading of trigger finger indicates that the finger is locked in flexion but can be passively corrected?

Question 5

What is the typical initial management for Grade 1-2 trigger finger?

Question 6

Which test is used to diagnose de Quervain's tenosynovitis?

Question 7

What is the anatomical location of the A1 pulley in the hand?

Question 8

In de Quervain's tenosynovitis, which tendons are primarily affected?

Question 9

What is the success rate of corticosteroid injection for treating trigger finger?

Question 10

What is the recommended position for splinting in trigger finger management?