Tendinopathy in the Hand

Question 1

describe the pathophysiology pathway of RA and extensor tendon rupture

Answer 1

autoimmune attack on synovium, then tendon degeneration and eventually tendon rupture

Question 2

what clinical features are seen in RA and extensor tendon rupture

Answer 2

weakness wrist extension or dropped finger

Question 3

what treatment is used for RA and extensor tendon rupture

Answer 3

tendon transfer, can’t be repaired`

Question 4

what treatment can prevent RA and extensor tendon rupture

Answer 4

synovectomy

Question 5

what can EPL(extensor pollicis longus) rupture occur with

Answer 5

with RA or colles fracture

Question 6

what clinical feature is seen with EPL rupture

Answer 6

significant loss function

Question 7

what treatment is required for EPL rupture

Answer 7

tendon transfer(EIP)

Question 8

describe the pathophysiology pathway of trigger finger

Answer 8

stenosing tenosynovitis, fibrocartilaginous metaplasia, then nodule FDS tendon, nodule catches on A1 pulley, triggering

Question 9

what age can trigger finger occur

Answer 9

any age(even kids)

Question 10

what treatments can be used for trigger finger

Answer 10

observe, inject, surgical release