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Review Question - QID 211589

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QID 211589 (Type "211589" in App Search)
A 75-year-old female presents with difficulty extending her fingers and thumb. Her exam is notable for subcutaneous nodules, ulnar deviation of the metacarpophalangeal joints, and swan neck deformities. The wrist radially deviates with extension. Extension cannot be actively initiated or maintained when her fingers are passively manipulated. Tenodesis is normal. What pathology would best explain her symptoms?
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