Trigger Finger

Question 1

define

Answer 1

stenosing tenosynovitis leads to swelling of the sheath which catches the A1 pulley

Question 2

presentation

Answer 2

• pain over A1 pulley (MC head) and clicking sensation
• triggering (sticking of finger in flexion)
• feel nodules at A1
• can occur at any age
• often middle and ring fingers

Question 3

what do you need to distinguish trigger finger from?

Answer 3

Dupuytrens (this does not straighten)

Question 4

management

Answer 4

conservative= often resolves spontaneously, splint to prevent flexion
injection (2)
surgery with division of A1 pulley BUT NOT OTHERS