Flexor tendons pass thought shealths along length of fingers (tunnels)
In trigger finger thickening of tendon or tightening of sheath preventing the tnedon from smoothly moving through sheath when finger is flexed and extended, causing pain and stiffness
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Q
What parts of sheath are most commonly affected
A
First annular pulley (A1) at MCP joint
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Q
AETIOLOGY
Risk factors
A
In 40s or 50s
Woman
Diabetes
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Q
CLINICAL FEATURES
Presentation
A
Troublesome finger that
Is painful and tender, usually around MCP joint on palm side
Does not move smoothly
Makes popping or clicking sound
Gets stuck in flexed position
Symptoms typically worse in morning and improve during day