MR imaging findings of trigger thumb

Chang, Eric Y.; Chen, Karen C.; Chung, Christine B.

doi:10.1007/s00256-015-2172-y

Cited by 13 publications

(12 citation statements)

References 27 publications

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“…In this study, it was shown that 66.6% of the cases represented by painful joint due to blocking of the MCP from flexion to extension (trigger finger) were due to Tendinosis with A1 pulley thickening. This agreed with the study of Chang et al (17) that reported that MRI can demonstrate findings of thickening and inflammation of the A1 pulley in cases of trigger finger. In this study, it was shown that 33.3% of the cases represented by painful joint (trigger finger) were due to tenosynovitis.…”

Section: Discussionsupporting

confidence: 93%

MRI value in Characterization of Tendon and Ligament Lesions of the Fingers

Abdellatif

Abduallah²,

Maaly³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: MR imaging is a powerful method for characterization of swellings arising from the tendon sheath especially giant cell tumors and ganglion cyst of the tendon sheath. A trigger finger is a common condition and is either blockage or triggering of the finger from flexion to extension. Objective: To evaluate the diagnostic performance of MRI in non-traumatic finger tendon and ligament-related lesions to allow a more focused assessment of the soft tissue structures of this region. Patients and methods: This study was performed in Radiology Department, Menoufia University Hospitals, during the period from August 2018 to April 2020. This study included 44 patients; 25 males, 19 females with an age range from 13 years to 58 years (mean age 35 years). In terms of clinical presentation, 73% of cases presented by swelling and cases presented by pain were 27%. Results: Primary diagnosis by MRI revealed 50% of cases were giant cell tumors, 25% were ganglion cysts and the remainder were hemangiomas, MRI detection of characterization represented by 100%, the results then compared with pathology and laboratory results with accuracy of MRI in the detection of tissue characterization is 93.3%, MRI evidence of non-traumatic tenosynovitis constituted about 75% of all cases of tenosynovitis. On the other hand, only 25% of cases had a radiological diagnosis of trigger finger. Conclusions: MRI is a great assessment of the tendon and ligaments tear whether partial or complete, any associated marrow edema or bony fragment avulsion, and the extent of retraction in cases of a complete tear.

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Section: Discussionsupporting

confidence: 93%

MRI value in Characterization of Tendon and Ligament Lesions of the Fingers

Abdellatif

Abduallah²,

Maaly³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…However, a hypertrophic nodule on the flexor pollicis longus could also be the origin of a pathogenic change in the trigger thumb. 24 The relationship between tendon injury and recurrence is uncertain and requires further study.…”

Section: Discussionmentioning

confidence: 99%

Short-term Versus Long-term Outcomes After Open or Percutaneous Release for Trigger Thumb

et al. 2017

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Good outcomes have been reported after both open and percutaneous surgery to release trigger thumb. This study evaluated short-term and long-term outcomes after treatment of trigger thumb with open or percutaneous release. A total of 126 trigger thumbs in 107 patients were reviewed from 2009 to 2012. Short-term (3 months) and long-term results (2 years) and complications of open release (58 digits) and percutaneous release (68 digits) were recorded and compared. Short-term complications included pain occurring in 9 digits (15.5%) in the open release group and in 2 digits (2.9%) in the percutaneous release group and scarring in 4 digits (6.9%) only in the open release group. Long-term complications included pain in 13 digits (19.1%) in the percutaneous release group and in 4 digits (6.9%) in the open release group; in addition, recurrent triggering occurred in 6 digits (8.8%) in the percutaneous release group and in 2 digits (3.4%) in the open release group. Pain and patient satisfaction were significantly better in the percutaneous release group in the short term, but they were better in the open release group in the long term. Although percutaneous release for trigger thumb is a safe and quick procedure, with good short-term outcomes, open release may provide better long-term outcomes. [Orthopedics. 2017; 40(1):e131-e135.].

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“…The primary therapy on this patient based Quinnell classification grade 4 is surgical, which is to release the A1 pulley with open release surgery. 7,8 The procedure was done under local anesthesia and the position are held on hyperextension, surface area is located in the halfway between proximal and distal palmar crease for the middle finger.…”

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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MR imaging findings of trigger thumb

Cited by 13 publications

References 27 publications

MRI value in Characterization of Tendon and Ligament Lesions of the Fingers

MRI value in Characterization of Tendon and Ligament Lesions of the Fingers

Short-term Versus Long-term Outcomes After Open or Percutaneous Release for Trigger Thumb

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

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