Also called flexor tenosynovitis
Type of stenosing tenosynovitis
Nodule on flexor tendon catching on first annular (A1) pulley
Can affect any digit; occasionally, multiple digits
Painful catching/clicking with finger flexion or extension
Pain over MCP; may refer to palm or proximal interphalangeal (PIP) joint
Digit may be locked, usually in flexion.
Splinting of MCP joint at 10 to 15 degrees of flexion × 6 to 10 wk:
Reduces tendon motion in sheath
Allows resolution of surrounding synovitis
93% with part...
Excellent; over 90% symptom resolution with steroid or surgical...
Akhtar S, Bradley MJ, Quinton DN, et al. Management and referral for trigger finger/thumb. BMJ. 2005;331(7507):30–33.
Giugale J, Fowler J. Trigger finger: adult and pediatric t...
Clinical diagnosis by painful catching at MCP joint
Corticosteroid injection is safe and highly effective first-line treatment.
Surgical release provides excellent results when conservat...
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