Trigger finger: Causes, diagnosis and treatment

Finger trigger can be

congenital acquired (since birth)

Before reading further, it would be good to see all first finger Anatomy (skip if you have already done).

First, we will see the acquired type that is commonly observed in adult around the age of 45. It may result from the overuse of the hand or without obvious cause may be present.

Other causes of acquired type include

diseases of collagen like Scleroderma and Sjogren syndromerheumatoid arthritisosteoarthritis

Symptoms include

After the finger extends with jerka bending nodule can be felt near the distal creasethe nodule palmer moves with the movementpain finger is present on the nodule

Alignment of the finger, occurs when the coating of the tendon becomes constricted. Following this constriction a nodule develops in the tendon. The slip in and out this nodule through constriction causes alignment.

The diagnosis is clinical examination. Investigations are hardly required.

Includes theprocessing of the acquired type

the injection of steroids in the sheath of the tendon involved (I have had good results with this technique) surgically cut the sheath narrowed to allow the free movement of tendon

Surgery is done only when there is no improvement after injection of steroids or trigger returns after a single injection of steroids.

Congenital trigger or Thumb finger

This condition is more common in the thumb and involves both sides in 1/4 patients. Was found to be associated with Trisomy 13 (chromosome 13 triple)

Only obvious abnormality is persistent bending posture of the involved digit. No alignment is present.

In approximately 25% of patients, it is detected at birth the rest it is diagnosed at the age of 2 years.

In 30% of patients spontaneous resolution occurs. Rest require surgical intervention.

Surgery should be carried out in three years beyond this age of permanent deformation increase opportunities.

Is there a medication that may be effective trigger finger?

Anti-inflammatory drug can be given. I've found that it reduced pain and tenderness but has no effect on the alignment.

Can it reproduce after surgery?

Yes it is possible. Proper release of the sheath of the tendon can prevent it.

How long will have to remain in the hospital after surgery?

You can be released the same day.

When can I use my hand after surgery?

As soon as the pain of licence. Your doctor will be encourage active use of the hand.

I hope that the information provided was useful. If you have any query you can ask me to contact me page.

This page was last updated March 13, 2009.

Other causes of pain joints finger...

Finger fracture

Finger Amputation

Glomus tumor

Paronychia

Mallet finger

Swan Neck deformity

Buttonhole deformity

Kirner deformity

Felon

Bowlers Thumb

Thumb Dislocation

Rewind the finger pain trigger finger joint

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