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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
Abstract:
The pathogenesis of trigger finger has generally been ascribed to primary changes in the pulley. Histological examination of the affected tendons has rarely been done. We studied biopsies from tendons of trigger fingers from 29 patients and compared these to biopsies from six intact tendons. We used a modified Movin score, which describes the tendinosis of the Achilles tendon. Trigger finger tendons had a high score (14.2; SD, 2.2) consistent with tendinosis, while the controls were almost normal (2.5; SD, 1.9). This suggests that the tendon is also affected, and that trigger finger is a form of tendinosis.
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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