Acquired triggering of the fingers and thumb in adults

David, Michael; Rangaraju, Madhav; Raine, Andrew

doi:10.1136/bmj.j5285

Cited by 26 publications

(26 citation statements)

References 49 publications

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“…1,3,4 Pain in the finger may be felt on finger flexion and may radiate to the proximal interphalangeal (PIP) and metacarpophalangeal (MTP). 5,6 Most common cause trigger finger is overuse trauma of the hands from gripping with increased pull on the flexor tendon. The diagnostic is made by palpation and identification of localized tenderness and swelling of the volar tendon sheats, but ultrasound can be used when there are a clinical doubt and diagnostic can be made with hyperechoic lesion with cut-off thickness of 0.62 mm proposed to distinguish a disease from a healthy one, MRI for exclusion of secondary causes in younger patient and plain radiograph (in particular case) which is history of trauma.…”

Section: Discussionmentioning

confidence: 99%

Trigger finger management, comparison of conservative and surgical treatment approach in hospital decision making: a case report

Putra¹,

Kesuma²

2019

Intisari Sains Medis

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Introduction: Trigger fingers are conditioned as the inability of the digit to move flex and extend caused by inflammation in the proximal edge of the flexor tendon pulley, such condition will have an impact on daily living activity and functional activity of person. Aim of this report is to give an overview regarding trigger finger clinical presentation with approach management in clinical setting. Case Presentation: A 39-old male come to the policlinic with complaint stiffness in right middle finger, on physical examination finding the middle finger on the right hand is locking in flexed position, tenderness palpation over the A1 pulley. Conclusion: Trigger finger is condition inability the digit can't move smoothly in flexed and extended. The management of trigger finger is based on Quinnell classification, after grading the treatment divided with conservative treatment or surgical treatment and both of treatment have success rate and complication rate.

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Section: Discussionmentioning

confidence: 99%

Trigger finger management, comparison of conservative and surgical treatment approach in hospital decision making: a case report

Putra¹,

Kesuma²

2019

Intisari Sains Medis

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“… 4 - 6 TF may also be seen in association with carpal tunnel syndrome, Duputryen’s disease, and inflammatory arthritis. 7 - 9 Multiple digits can simultaneously be involved. 6 The thumb, third and fourth finger, and the dominant hand are most often involved.…”

Section: Introductionmentioning

confidence: 99%

“… 19 , 20 The 5- to 7-mm length A1 pulley of each digit can be located on surface anatomy on the palmar side opposite the bony prominence of the dorsum of the metacarpophalangeal (MCP) joint. 7 , 21 Alternatively, on palmar surface anatomy, the A1 pulley is located at the ulnar side of the thumb at its proximal crease, the proximal palmar crease of digit 2, and the distal palmar crease of digits 3 to 5. 22 …”

Section: Introductionmentioning

confidence: 99%

Trigger Finger? Just Shoot!

Merry

O'Grady

Boswell

2020

J Prim Care Community Health

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Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley, progressing to catching and then locking. Splinting for 6 to 9 weeks produces gradual improvement in most patients as does a quick steroid injection with the latter resulting in resolution of pain in days and resolution of catching or locking in a few weeks. Percutaneous or open release should be reserved for injection failures particularly those at high risk for continued injection failure including diabetics and those with multiple trigger fingers. We present a step-by-step method for injection with illustrations to encourage primary care providers to offer this easily performed procedure to their patients.

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“…Yet, there is no report on risk factors associated with ITI. Many general factors may relate to tendinitis or fasciitis of hand, such as trauma, diabetes, inflammatory arthritis, renal disease, gout and so on 6 7. Unfortunately, these factors are not statistically analysed in this study.…”

mentioning

confidence: 98%

“…Unfortunately, these factors are not statistically analysed in this study. The activity, labour and exercise load of the hand could also affect the occurrence of tendinitis and fasciitis 6 7. Were the HC and other groups in the same conditions?…”

mentioning

confidence: 99%