CLINICAL ENCOUNTERS
RHEUMATOID ARTHRITIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A RA patient presented with inability to extend fingers at MCPJ for 6 months and is affecting her daily activities. She was then diagnosed with extensor tendon rupture of LF, RF and MF. Which is the best treatment option for her
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Direct tendon repair
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End to side of all ruptured tendon to IF
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FDS tendon from MF to power LF, RF and MF
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EIP to power RF and LF + MF end to side to IF
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EIP to power LF, RF and MF
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Explanation:
Detailed explanation-1: -Mallet finger injuries are caused by the disruption of the extensor mechanism of the phalanx at the level of the distal interphalangeal joint, usually due to a forced flexion at the distal interphalangeal joint. This injury results in the inability to extend the distal phalanx.
Detailed explanation-2: -Rheumatoid arthritis (RA) often causes destruction of the MCP joints’ connective tissues, which leads to weakness of the tissues and an imbalance of active and passive forces, and subsequently, instability, pain, and deformity.
There is 1 question to complete.