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Review Question - QID 213016

Intrinsic Plus Hand Presentation Physical exam QID: 213016 (OBQ18.120)
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QID 213016 (Type "213016" in App Search)
A 39-year-old construction worker presents to your clinic with a complaint of decreased ability to use his right hand at work. He sustained a crush injury to his hand 7 months ago and reports persistent swelling in the hand for 1-2 months after the injury. A new radiograph is shown in figure A. On physical exam, he can passively flex the proximal interphalangeal (PIP) joint when the metacarpophalangeal (MCP) joint is flexed but not when the MCP joint is extended. Based on this information, where is his stiffness most likely originating from?
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