4.2. Orthopaedic Problems of the Hand - Trigger Finger Flashcards Preview

3rd Year - MSK Diseases > 4.2. Orthopaedic Problems of the Hand - Trigger Finger > Flashcards

Flashcards in 4.2. Orthopaedic Problems of the Hand - Trigger Finger Deck (11):
1

What are the main Elective Hand Conditions?

1. Dupuytren's Disease (Contracture)
2. Trigger Finger
3. De Quervain's Tenovaginitis
4. Nerve Entrapment:
4. a) Carpal Tunnel Syndrome
4. b) Cubital Tunnel Syndrome
5. Ganglion
6. Osteoarthritis on the Base of the Thumb

2

In relation to Trigger Finger, what is the Anatomy of the Finger?

1. There are 2 tendons to each finger
2. Both of these tendons run in a sheath
3. Thickenings of the sheath are a pulley system
4. This keeps the tendon close to the bone

3

What is the pathology of Trigger Finger?

Swelling in the Tendon catches on the Pulley System

4

Which sex are more likely to get Trigger Finger?

Women

5

At what age are most cases of Trigger Finger reported?

40s to 60s

6

Which fingers are most commonly affected?

1. Ring Finger
2. Thumb
3. Middle Finger

7

What can cause Trigger Finger?

1. Repetitive use of the Hand
2. Local Trauma

8

What is Trigger Finger associated with?

1. Rheumatoid Arthritis
2. Diabetes Mellitus
3. Gout

9

How is Trigger Finger Diagnosed?

1. History
2. Clicking sensation with movement of the Digit
3. Lump in the Palm (under the Pulley)
4. They may have to use the other hand to "unlock" this one
5. "Clicking" Sensation may progress to "Locking" sensation

10

What is the Non-operative management of Trigger Finger?

1. Splintage
2. Steroids

11

What us the Operative management of Trigger Finger?

1. Percutaneous Release
2. Open Surgery

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