A 47-year-old man has a puncture wound to the index finger from a fish hook. The finger is held flexed, fusiform swelling is present, passive

Question

A 47-year-old man has a puncture wound to the index finger from a fish hook. The finger is held flexed, fusiform swelling is present, passive extension is painful, and tenderness tracks along the flexor sheath. What is the most likely diagnosis?

Accepted Answer

Pyogenic flexor tenosynovitis

Answer

Trigger finger

Answer

Gouty arthritis

Answer

Paronychia

Answer

Mallet finger

Pyogenic flexor tenosynovitis — RCPSC EM MCQ

A 47-year-old man has a puncture wound to the index finger from a fish hook. The finger is held flexed, fusiform swelling is present, passive extension is painful, and tenderness tracks along the flexor sheath. What is the most likely diagnosis?