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Flashcards in Trigger Finger Deck (4)
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1
Q

What would you find on examination of a patient with trigger finger

A

Flexion of one or more fingers - most commonly middle or ring fingers

May be a small nodule felt in the palm, overlying the flexor tendon sheath as it enters the digit (usually at the level of the proximal transverse palmar crease)

On gentle forced extension of the finger - characteristic snap as the distal finger passes the obstruction

2
Q

What is this

A

Trigger finger

3
Q

What is the cause of trigger finger

A

Cause by fibrosis and thickening of the flexor tendon sheath as the tendon enters the digit

May be:-

  • Idiopathic
  • Following trauma
  • Congenital
4
Q

How is trigger finger treated

A

Non-surgical

  • Steroid injection - if a nodule is present over the flexor tendon sheath

Surgical

  • Tendon release - by incising the sheath