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Trigger Finger? Just Shoot!
Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley,...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372603/ https://www.ncbi.nlm.nih.gov/pubmed/32686570 http://dx.doi.org/10.1177/2150132720943345 |
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author | Merry, Stephen P. O’Grady, Jason S. Boswell, Christopher L. |
author_facet | Merry, Stephen P. O’Grady, Jason S. Boswell, Christopher L. |
author_sort | Merry, Stephen P. |
collection | PubMed |
description | Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley, progressing to catching and then locking. Splinting for 6 to 9 weeks produces gradual improvement in most patients as does a quick steroid injection with the latter resulting in resolution of pain in days and resolution of catching or locking in a few weeks. Percutaneous or open release should be reserved for injection failures particularly those at high risk for continued injection failure including diabetics and those with multiple trigger fingers. We present a step-by-step method for injection with illustrations to encourage primary care providers to offer this easily performed procedure to their patients. |
format | Online Article Text |
id | pubmed-7372603 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-73726032020-07-29 Trigger Finger? Just Shoot! Merry, Stephen P. O’Grady, Jason S. Boswell, Christopher L. J Prim Care Community Health Reviews Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley, progressing to catching and then locking. Splinting for 6 to 9 weeks produces gradual improvement in most patients as does a quick steroid injection with the latter resulting in resolution of pain in days and resolution of catching or locking in a few weeks. Percutaneous or open release should be reserved for injection failures particularly those at high risk for continued injection failure including diabetics and those with multiple trigger fingers. We present a step-by-step method for injection with illustrations to encourage primary care providers to offer this easily performed procedure to their patients. SAGE Publications 2020-07-19 /pmc/articles/PMC7372603/ /pubmed/32686570 http://dx.doi.org/10.1177/2150132720943345 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Reviews Merry, Stephen P. O’Grady, Jason S. Boswell, Christopher L. Trigger Finger? Just Shoot! |
title | Trigger Finger? Just Shoot! |
title_full | Trigger Finger? Just Shoot! |
title_fullStr | Trigger Finger? Just Shoot! |
title_full_unstemmed | Trigger Finger? Just Shoot! |
title_short | Trigger Finger? Just Shoot! |
title_sort | trigger finger? just shoot! |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372603/ https://www.ncbi.nlm.nih.gov/pubmed/32686570 http://dx.doi.org/10.1177/2150132720943345 |
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