tenosynovitis Flashcards
1
Q
what is trigger finger/ what causes it in general
A
thickeneing of fibrous digital sheath that makes digit unable to free glide
2
Q
specific causes of trigegr finger
A
mainly unknown
Systemic: DM, collagen vascular disease, rheumatoid arthritis, hypothyroidism,
congenital: trigger thumb due to nodule on flexer pollicis longus tendon
3
Q
tx of trigger finger
A
conservative, medical, surgical
conservative rest finger prevent overuse, splinting
medical: nsaids to relieve inflamm and swelling, steroids ie corticosteroid injection may reduce inflammation
surgery: percutaneous release(tearing the sheath with wide bore needle) done under LA blindly with knowledge of anatomy
post sx: move finger to prevent tissue adhesions plus nsaid
