TRIGGER THUMB Flashcards
1
Q
DEFINE
A
DUE TO THICKENING OF FLEXOR SHEATH IN THE DIGITS OD THAT FREE GLIDING OF FLEXOR TENDON DOESNT OCCUR
USUALLY THICKENING OCCURS IN THE FLEXOR SHEATH MOST COMMONLY AT THE LEVEL OF MCP JOINT
DUE TO THICKENING THE FINGER GETS ARRESTED IN FLEXION POSITION AND ON TRYING TO EXTEND IT EXTENDS WITH A SNAP/ TRIGGERING.
2
Q
RISK FACTORS
A
LOCAL TRAUMA
DIABETES
RA
GOUT
2
Q
CLINICAL FEATURES
A
THUMB RING AND MIDDLE FINGER AFFECTED MOST COMMONLY
AS SHEATH THICKENS TENDONN GETS SWOLLEN PROXIMAL TO IT
PATIENT EXPERIENCES LOCKING AND TRIGGRING OF FINGERS
TENDER NODULE CAN BE FELT AT MCP JOINT
3
Q
TREATMENT
A
ULTRASONIC THERAPY
NSAID
SPLINTING OF FINGER
INJECTION OF HYDROCORTISONE
IF ALL ABOVE MEASURES FAIL, RELEASE OF A1 PULLY IS DONE .
