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Exam questionKROK 1Medicine · 2017

Paronychia of the patient’s little finger was complicated with phlegmon of the hand and forearm. In this case the suppuration had spread through the:

Answer options

  1. Interfascial compartments
  2. Canalis carpalis
  3. Vagina synovialis communis mm. flexorum
  4. Vagina tendinis m. flexor carpi radialis
  5. Vagina tendinis m. flexor pollicis longi
Correct answer

Vagina synovialis communis mm. flexorum

Explanation

The synovial sheath of the little finger:It covers the flexor digitorum superficialis and Profundo's muscles. Superiorly this sheath protrudes 12 cm proximal to the flexor retinaculum. Interiorly it extends on the flexors until the base of the distal phalanx ofthe little finger. Phlegmon in the thumb or little finger may pass along theulnar and radial bursae to the Pirogov’s space in the forearm. From there itpasses up to the cubital fossa and other regions.

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