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Pt has injured her right index finger and doctor dictates the following:
I feel that both s/l EC and EIP are intact today on my exam.
I cannot find reference to the EC and possibly the EIP. THANKS for any and all help!!!
Did the dictator say anything about surgery? Does the following sound possible?
extensor indicis proprius (EIP)
extensor digitorum communis (EDC)
Loss of long-, ring-, and small-finger MCP joint extension is usually treated by transfer of the extensor indicis proprius (EIP) to both the extensor digiti minimi (EDM) and extensor digitorum communis (EDC) of the ring finger and side-to-side suture of the long-finger EDC to the intact index-finger EDC. If the EIP is the only remaining extensor to the index finger, a flexor digitorum sublimis (FDS) tendon may be used to motor the ring- and small-finger MCP joint extension in place of the EIP. Although one of the radial wrist extensors (preferably the extensor carpi radialis longus) can be considered as a motor tendon in this circumstance, it is often not long enough to reach the distal stumps of the ruptured tendons and does not have sufficient excursion to restore normal MCP joint motion.