Trigger Finger: An Atraumatic Medical Phenomenon

J Hand Surg Asian Pac Vol. 2017 Jun;22(2):188-193. doi: 10.1142/S021881041750023X.

Abstract

Trigger finger is a mechanical problem with many etiological factors as possible causes, such as diabetes mellitus, carpal tunnel syndrome and repetitive finger movements. Although it can afflict anyone, it is much commoner in middle-aged women than men and the most commonly involved digit is reported to be the thumb. The diagnosis is mainly based on clinical symptoms during examination and first-line treatment is conservative with splinting and corticosteroid injections. Surgical open release is the "gold standard" of trigger finger treatment because it allows more careful inspection of the surgical area and is highly effective with low complication rates.

Keywords: Diagnosis; Etiology; Stenosing tenosynovitis; Treatment; Trigger finger.

Publication types

  • Review

MeSH terms

  • Conservative Treatment
  • Diagnosis, Differential
  • Glucocorticoids / therapeutic use
  • Humans
  • Injections
  • Severity of Illness Index
  • Splints
  • Tenotomy
  • Trigger Finger Disorder / classification
  • Trigger Finger Disorder / diagnosis
  • Trigger Finger Disorder / etiology*
  • Trigger Finger Disorder / therapy*

Substances

  • Glucocorticoids