Trigger Finger/Thumb
Overview
Trigger Finger/Thumb is a common condition that affects the tendons in the fingers or thumb, causing them to become inflamed and thickened. The inflamed tendons can no longer glide smoothly through the tendon sheath, causing the finger or thumb to lock or catch when bending or straightening. This condition is more common in women and people with certain medical conditions, such as diabetes and rheumatoid arthritis.
Procedure
The treatment for Trigger Finger/Thumb typically involves the following steps:
Diagnosis: The doctor will evaluate the patient’s symptoms and perform physical examinations, such as the “snap test,” to confirm the diagnosis of Trigger Finger/Thumb.
Conservative Treatment: The initial treatment for Trigger Finger/Thumb is usually conservative, which may include rest, splinting, exercises, medications, or corticosteroid injections to relieve pain and inflammation.
Surgery: If conservative treatment does not provide relief, or if the condition is severe, surgery may be necessary. The surgery for Trigger Finger/Thumb may involve one of several procedures, depending on the cause and severity of the condition. These may include:
- Release of the A1 pulley: This procedure involves making a small incision in the palm or finger and cutting the ligament (A1 pulley) that is causing the tendon to catch or lock.
- Tenolysis: This procedure involves releasing the adhesions between the inflamed tendon and its surrounding tissue to allow for smooth gliding motion.
- Tendon reconstruction: This procedure involves using a tendon graft to replace the damaged tendon and restore function to the finger or thumb.
- Recovery: After the surgery, the patient will need to follow specific post-operative instructions, such as wearing a splint and performing exercises, to promote proper healing and restore strength and function to the finger or thumb.
In summary, Trigger Finger/Thumb is a common condition that affects the tendons in the fingers or thumb, causing them to become inflamed and thickened. The initial treatment is usually conservative, but surgery may be necessary if symptoms persist. The surgical procedures for Trigger Finger/Thumb involve release of the A1 pulley, tenolysis, or tendon reconstruction. Patients will need to follow specific post-operative instructions to promote proper healing and restore strength and function to the finger or thumb.