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An 18-year-old rugby player has had pain in his ring finger after missing a tackle 1 week ago. Examination reveals tenderness in the distal palm, and he is unable to actively flex the distal interphalangeal (DIP) joint. Radiographs are normal. What is the most appropriate management?
Acute tendon repair
DIP joint extension splinting for 6 weeks
DIP and proximal interphalangeal joint extension splinting for 6 weeks
Buddy taping to the middle finger for 2 weeks
Early range-of-motion exercises and return to play as pain permits
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A 16-year-old football player sustains an injury to his ring finger after making a tackle. A clinical photograph is shown in Figure A. What is the most likely diagnosis?
Flexor digitorum superficialis avulsion
Central slip rupture
Sagittal band rupture
Distal extensor tendon rupture
Flexor digitorum profundus avulsion
A 22-year-old rugby player presents with a mass at the base of his ring finger 5 months after sustaining an injury while making a tackle. Physical examination demonstrates a lack of active distal interphalangeal joint flexion, but full passive range of motion of all joints of the ring finger. Radiographs are normal. What is the most appropriate treatment to regain normal finger function?
excision of the palmar mass and 2-stage tendon grafting
excision of the palmar mass and single stage tendon grafting
excision of the palmar mass and distal interphalangeal joint fusion
active silicone rod implantation
flexor digitorum profundis repair