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Upper Extremity Tendinopathies (trigger digits, de ...
Case: Upper Extremity Tendinopathies (trigger digi ...
Case: Upper Extremity Tendinopathies (trigger digits, deQuervains, Lateral epicondylitis)
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Pdf Summary
A 65-year-old female presents with a left middle trigger finger. She has a 20-degree PIP flexion contracture and has not had success with conservative treatment with steroid injections. The procedure is done under straight local anesthesia, and the A1 pulley is released. Surgical findings reveal that the white arrow signifies the FDS tendon, the white asterisk represents the A2 pulley, the black arrow indicates the FDP tendon, and the black asterisk denotes the A1 remnant. Despite the surgery, the patient still experiences triggering with active range of motion. The next step to correct the triggering is to perform resection of the FDS ulnar slip.
Keywords
65-year-old female
left middle trigger finger
20-degree PIP flexion contracture
steroid injections
A1 pulley release
surgical findings
FDS tendon
A2 pulley
FDP tendon
triggering
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