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Orthopaedics · Hand injuries
Sample itemWhich injury prevents active flexion of the distal interphalangeal joint after forced extension?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Jersey finger
Jersey finger is avulsion of the flexor digitorum profundus tendon, leaving the patient unable to actively flex the distal interphalangeal joint.
Option by option
A. Mallet finger
Mallet finger prevents DIP extension.
B. Jersey finger (correct)
Correct: FDP avulsion removes DIP flexion.
C. Trigger finger
Trigger finger causes tendon catching rather than acute loss of flexion.
D. Dupuytren contracture
Dupuytren disease causes progressive palmar contracture.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.