4.1 of 44 Ratings
A 28-year-old NFL running back complains of continued hand pain three days following an injury sustained while being tackled. He was splinted on the field. He has tenderness over the long finger metacarpal head, with subluxation of the extensor tendon into the intermetacarpal area during active metacarpophalangeal joint flexion. A representative MRI is shown in Figure A. What is the next best step in management of this patient?
Continued splinting in flexion
Continued splinting in extension
Open repair of the disrupted junctura tendinae
Open repair of the disrupted sagittal band
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A 20-year-old man has pain, swelling, and popping over his index metacarpophalangeal joint after striking a wall 3 days ago. Radiographs are normal, but physical exam reveals a palpable defect over the dorsum of the joint with clenching of the fist, and this defect is resolved with extension of the metacarpophalangeal joint. What is the next most appropriate step in treatment?
Trigger finger steroid injection
Extension splinting of the metacarpophalangeal joint
Extensor hood reconstruction
Metacarpophalangeal joint arthrodesis