MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

RHEUMATOID ARTHRITIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
subluxation of the first MCP joint with hyperextension of the first interphalangeal (IP) joint causes this kind of deformity that may result from damage to the tendons, joint capsule, and other soft tissues in these small joints.
A
Swan Neck Deformity
B
Z-line deformity
C
Boutonniere
D
Trigger fingers
Explanation: 

Detailed explanation-1: -PIP joint injuries can take a surprisingly long time to heal. Most simple injuries will return to normal function after a few months, however more severe or complex injuries can cause some permanent stiffness and pain. Any joint movement that is lost tends to be minor and does not require further treatment.

Detailed explanation-2: -Available treatment options include immobilization, protected motion, traction, open reduction and internal fixation, buttress reconstruction, joint arthroplasty, or arthrodesis. By principle, stable PIP joint fracture dislocations can be treated non-surgically if closed reduction can restore a normal AOM.

Detailed explanation-3: -Injury to the ligaments of the middle joint (proximal interphalangeal joint) of a finger may occur as a result of the finger being forced backwards. This is known as a hyperextension injury.

There is 1 question to complete.