Trigger Finger

Question 1

What is trigger finger?

Answer 1

Tendonitis of a flexor tendon to a digit

Question 2

What features of trigger finger?

Answer 2

• Enlargement of affected tendon
• Usually distal to a fascial pulley over metacarpal neck
• Nodule catches on & passes underneath pulley (clicking sensation)
• Finger may lock in flexed position

Question 3

Which fingers are most commonly affected by trigger fingr?

Answer 3

Ring finger

Middle finger

Question 4

Signs/symptoms of trigger finger?

Answer 4

• Clicking sensation during movement
• May lock in flexed position
• May have to forcibly manipulate finger to regain extension

Question 5

Treatment of trigger finger?

Answer 5

-Conservative= injection of steroid around tendon within the sheath
Surgery:
-Recurrent cases/persistent cases=
Incision of the pulley (A1) this doe snot affect function