Trigger Digits: Diagnosis and Treatment

Saldana, Miguel J.

doi:10.5435/00124635-200107000-00004

Cited by 163 publications

(132 citation statements)

References 24 publications

Supporting

Mentioning

126

Contrasting

Unclassified

Order By: Relevance

“…There is a relative paucity of published data regarding the success of open-surgical release. Its cure rate is reported to range from 60 to 97% [7,9,10], and the reported satisfaction rate ranges from 83 to 98% [7,8].…”

Section: Discussionmentioning

confidence: 97%

Ultrasound-guided percutaneous release of the annular pulley in trigger digit

et al. 2009

View full text Add to dashboard Cite

The purpose of this study was to describe and evaluate a new technique for ultrasound-guided percutaneous release of the annular pulley in trigger digit using a modified hypodermic needle. A total of 35 ultrasound-guided percutaneous releases were performed on 25 patients diagnosed and referred by hand surgeons in our institution over 16 months from October 2006. Inclusion criteria were as follows: adulthood, triggering present for at least 4 months, failure to respond to conservative management or steroid injections, no previous history of pulley release in the affected digit. Under ultrasound guidance, the affected pulley was released using a standard 19-gauge hypodermic needle bent at two points as the cutting device. Follow-up took place at 12 weeks and 6 months with improvement in triggering and clinically graded pain. At follow-up, no complications had occurred and all patients demonstrated improvement in their triggering, with complete resolution in 32 digits (91%), good improvement in 2 digits (6%) and some improvement in 1 digit (3%). This new technique uses a widely available and safe cutting device and is safe and can be used to provide definitive management for trigger finger, allowing the procedure to be performed in a variety of clinical settings.

show abstract

Section: Discussionmentioning

confidence: 97%

Ultrasound-guided percutaneous release of the annular pulley in trigger digit

et al. 2009

View full text Add to dashboard Cite

show abstract

“…The final diagnosis of primary trigger digit can be made when a patient demonstrates symptomatic locking or clicking of a finger or thumb and treatment can be initiated, which includes activity modification, nonsteroidal antiinflammatory drugs, steroid injection, and surgical release [1]. When trigger digit is secondary to another disease, the normal relationship between the flexor tendon and A1 pulley can typically be restored by treating the underlying disease [6].…”

Section: Introductionmentioning

confidence: 99%

“…Although trigger finger can affect any digit, in the general population, it most commonly occurs in the thumb (referred to as trigger thumb) [2][3][4] or ring finger [5]. The vast majority of trigger digits are of the primary (idiopathic) type, but they can also occur secondary to other diseases, such as rheumatoid arthritis, tumors, or connective tissue disorders [1,6].…”

Section: Introductionmentioning

confidence: 99%

MR imaging findings of trigger thumb

2015

View full text Add to dashboard Cite

Trigger finger (or trigger thumb), also known as sclerosing tenosynovitis, is a common clinical diagnosis that rarely presents for imaging. Because of this selection bias, many radiologists may not be familiar with the process. Furthermore, patients who do present for imaging frequently have misleading examination indications. To our knowledge, magnetic resonance (MR) imaging findings of trigger thumb have not been previously reported in the literature. In this article, we review the entity of trigger thumb, the anatomy involved, and associated imaging findings, which include flexor pollicis longus tendinosis with a distinct nodule, A1 pulley thickening, and tenosynovitis. In addition, in some cases, an abnormal Av pulley is apparent. In the rare cases of trigger finger that present for MR imaging, accurate diagnosis by the radiologist can allow initiation of treatment and avoid further unnecessary workup.

show abstract

“…There is a mismatch between the size of the tendon sheath and the tendon which passes through it [2,3,4]. tendon trauma [6,7,8]. Quinell [9] graded triggering of the digits from I to IV (Table 1).…”

Section: Introductionmentioning

confidence: 99%

The efficacy of local corticosteroid injection in the treatment of trigger finger

Sharma

Sah²

2018

Janaki Med. Coll. J. Med. Sci.

View full text Add to dashboard Cite

Background and Objectives: Trigger finger is a condition that causes triggering, snapping or locking on flexion of the involved digit. Treatment modalities are conservative (Non-steroidal anti-inflammatory drugs, splints or corticosteroid injections) or operative (percutaneous or open release of A1 pulley- the first annular pulley of the fibro-osseous sheath of the fingers situated at the level of the metacarpophalengeal joint). The aim of this study is to evaluate the efficacy of corticosteroid injection for trigger finger in adults.Material and Methods: Fifty patients with 54 trigger digits were treated by one or two injections of methylprednisolone acetate with 1% lignocaine. Patients were followed-up for a period of 6 months.Results: Symptoms and signs resolved in 79.63% of the injected digits. Local adverse reactions to steroid injection- pain at the injection site and steroid flare were self-limiting. There was no tendon rupture or post-injection infection.Conclusion: The study concludes that steroid injection is an effective first line treatment for trigger finger in most patients.Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(2): 13-18

show abstract

Trigger Digits: Diagnosis and Treatment

Cited by 163 publications

References 24 publications

Ultrasound-guided percutaneous release of the annular pulley in trigger digit

Ultrasound-guided percutaneous release of the annular pulley in trigger digit

MR imaging findings of trigger thumb

The efficacy of local corticosteroid injection in the treatment of trigger finger

Contact Info

Product

Resources

About