Trigger finger Flashcards
1
Q
What is it? Explain pathophysiology
A
Thickening of tendon or tightening of the sheath that they pass through. Tendon can’t pass through as smoothly
2
Q
What site is most affected?
A
First annular pulley A1 at MCP joint
3
Q
risk factors?
A
40s/50s
women
Diabetes (mostly type 1)
4
Q
Presentation?
A
Painful and tender MCP joint
Doesn’t move smoothly
Popping or clicking sound
Stuck in flex position
5
Q
When are symptoms typically worse?
A
In the morning
6
Q
What is management?
A
Rest and analgesia - small number resolve spontaneously
Splinting
Steroid injection
Surgery to release A1 pulley
