4.2. Orthopaedic Problems of the Hand - Trigger Finger

Question 1

What are the main Elective Hand Conditions?

Answer 1

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

Question 2

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

Answer 2

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

Question 3

What is the pathology of Trigger Finger?

Answer 3

Swelling in the Tendon catches on the Pulley System

Question 4

Which sex are more likely to get Trigger Finger?

Answer 4

Women

Question 5

At what age are most cases of Trigger Finger reported?

Answer 5

40s to 60s

Question 6

Which fingers are most commonly affected?

Answer 6

1. Ring Finger
2. Thumb
3. Middle Finger

Question 7

What can cause Trigger Finger?

Answer 7

1. Repetitive use of the Hand

2. Local Trauma

Question 8

What is Trigger Finger associated with?

Answer 8

1. Rheumatoid Arthritis
2. Diabetes Mellitus
3. Gout

Question 9

How is Trigger Finger Diagnosed?

Answer 9

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

Question 10

What is the Non-operative management of Trigger Finger?

Answer 10

1. Splintage

2. Steroids

Question 11

What us the Operative management of Trigger Finger?

Answer 11

1. Percutaneous Release

2. Open Surgery