6 - Trigger finger

Question 1

briefly describe anatomy of trigger finger?

Answer 1

2 tendons to each finger, they run in sheaths - when these sheaths thicken, a pulley is created - swelling in tendon catches on the pulley created

Question 2

M:F?

Answer 2

F>M

Question 3

which fingers are most commonly affected?

Answer 3

ring > thumb > middle

Question 4

4 associations of TF?

Answer 4

local trauma, RA, DM, gout

Question 5

4 signs for recognising TF?

Answer 5

1 - clicking sensation with movement of digit, 2 - lump in palm under pulley, 3 - use other hand to unlock finger, 4 - clicking progressing to locking

Question 6

how to diagnose TF?

Answer 6

palpable lump in palm over A1 pulley, feel the triggering around the A1 pulley

Question 7

2 non-operative treatments?

Answer 7

splintage, steroids

Question 8

2 operative treatments?

Answer 8

percutaneous release, open surgery