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Acute transient bilateral trigger fingers

S N Giles¹, T Gosling, S M Hay

¹University Department of Orthopaedics, Northern General Hospital, Sheffield, UK.

Journal of Hand Surgery (Edinburgh, Scotland)

|June 2, 1998

Summary

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A man experienced sudden, temporary triggering of his middle fingers after extensive rotavator use. Symptoms resolved and did not recur, indicating a likely transient mechanical cause.

Area of Science:

Orthopedics
Neurology
Occupational Health

Background:

Repetitive strain injuries can manifest in various ways.
Understanding the etiology of transient digit triggering is crucial for diagnosis.
Occupational exposures are a known risk factor for musculoskeletal and neurological symptoms.

Observation:

A 30-year-old male presented with acute onset bilateral, simultaneous triggering of the middle digits.
The triggering symptoms developed after prolonged and sustained use of a garden rotavator.
The patient was asymptomatic prior to the event and remained so at a 7-year follow-up.

Findings:

The case suggests a transient mechanical or neurological phenomenon affecting the middle digits.
The specific trigger was prolonged, sustained use of a garden rotavator, implying an occupational or activity-related cause.

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The complete resolution and lack of recurrence point towards a non-progressive, likely reversible condition.

Implications:

This case highlights the potential for specific occupational activities to induce acute, transient digital symptoms.
Further investigation into the biomechanics of rotavator use and its effect on digital function may be warranted.
Clinicians should consider activity-induced transient triggering when evaluating patients with acute digit symptoms.