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Trigger Finger Treatment.

João Carlos Belloti1, Edson Sasahara Sato1, Flavio Faloppa1

  • 1Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

Revista Brasileira De Ortopedia
|December 21, 2022
PubMed
Summary

Trigger finger, a common condition, involves finger locking due to tenosynovitis. Treatment options range from conservative measures to surgery, depending on symptom severity and functional impact.

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Conditions

Background:

  • Trigger finger is a prevalent condition characterized by finger locking during flexion.
  • While tenosynovitis and A1 pulley alterations are implicated, the precise etiology of trigger finger remains unclear.
  • Diagnosis is typically clinical, based on the observation of finger locking during active movement.

Purpose of the Study:

  • To review the various treatment modalities for trigger finger.
  • To present a clinical algorithm for guiding treatment decisions in trigger finger management.

Main Methods:

  • This is a review article, synthesizing existing literature on trigger finger.
  • The review discusses both nonsurgical and surgical treatment options.
  • An algorithm for patient management is proposed based on clinical presentation.
Keywords:
tenosynovitistrigger finger/diagnostictrigger finger/surgerytrigger finger/therapy

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Main Results:

  • Nonsurgical interventions are generally the initial approach, with a recommended duration of at least 3 months.
  • Early surgical intervention may be indicated for patients presenting with flexion deformities or inability to flex, especially when associated with significant pain and functional disability.

Conclusions:

  • Trigger finger management requires a tailored approach based on individual patient factors.
  • The proposed algorithm aims to optimize treatment selection for trigger finger patients.
  • Further research may be needed to fully elucidate the etiology of trigger finger.