Trigger finger and tendinosis

A-C Lundin1, P Eliasson, P Aspenberg

  • 1Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linkoping University, Linkoping, Sweden. annacarin.lundin@gmail.com

Insights

Trigger finger may be caused by tendinosis, a condition affecting the tendon itself. This study found significant tendinosis in trigger finger tendons, suggesting a new understanding of the condition.

Area of Science:

  • Orthopedics
  • Pathology
  • Musculoskeletal research

Background:

  • The cause of trigger finger is often attributed to issues with the pulley system.
  • Histological analysis of affected tendons in trigger finger is infrequently performed.

Purpose of the Study:

  • To investigate the histological characteristics of tendons in trigger finger.
  • To determine if tendinosis is a contributing factor in trigger finger pathogenesis.

Main Methods:

  • Histological examination of tendon biopsies from 29 trigger finger patients.
  • Comparison of biopsies with six intact control tendons.
  • Application of a modified Movin score to assess tendinosis.

Main Results:

  • Trigger finger tendons exhibited high scores (14.2; SD, 2.2) indicative of tendinosis.
  • Control tendons showed minimal signs of tendinosis (2.5; SD, 1.9).

Conclusions:

  • Trigger finger involves significant tendinosis within the affected tendon.
  • The findings suggest trigger finger should be considered a form of tendinosis.

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