trigger finger

Question 1

pathophysiology

Answer 1

tendon thickens ot sheath it runs in tightens - meaning the tendon cannot move smoothly through the sheath

there may be a nodule on the tendon

Question 2

most commonly affected area

Answer 2

first annular pulley (A1) at the MCP joint

Question 3

risk factors

Answer 3

middle age (40s-50s)
women
diabetics

Question 4

presentation

Answer 4

troublesome finger that..

• is painful and tender (usually around MCP joint)
• does not move smoothly
• makes pop or click sound
• gets stuck in flexion

symptoms typically worse in morning

Question 5

management options

Answer 5

rest and analgesia
splinting
steroid injections
surgery to release A1 pulley