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Trigger finger following partial flexor tendon laceration: Magnetic resonance imaging-assisted diagnosis

INTRODUCTION: Post-traumatic trigger finger is considerably rarer than normal trigger finger. The diagnosis is usually made on a clinical basis. This can be obscured; however, by concurrent pathological conditions. We report a case of post-traumatic trigger finger in which diagnosis was aided by mag...

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Detalles Bibliográficos
Autores principales: Couceiro, Jose, Fraga, Javier, Sanmartin, Marcos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392373/
https://www.ncbi.nlm.nih.gov/pubmed/25765739
http://dx.doi.org/10.1016/j.ijscr.2015.03.001
Descripción
Sumario:INTRODUCTION: Post-traumatic trigger finger is considerably rarer than normal trigger finger. The diagnosis is usually made on a clinical basis. This can be obscured; however, by concurrent pathological conditions. We report a case of post-traumatic trigger finger in which diagnosis was aided by magnetic resonance imaging (MRI). PRESENTATION OF CASE: Our patient is a 32-year-old male who had a previous laceration with a subsequent surgery for infectious tenosynovitis. The MRI showed the impinging tendon tag. Surgical excision of the tag successfully solved the case. DISCUSSION: The use of imaging studies for the diagnosis of post-traumatic trigger finger has been previously reported, the authors described a variation on the contour of the pulley system. The full lacerated tendon tag can be seen on our patient's MRI. CONCLUSION: On this case, the use of MRI was a useful aid for the differential diagnosis of post-traumattic trigger finger.