Trigger Finger Treatment

Rev Bras Ortop (Sao Paulo). 2020 Sep 22;57(6):911-916. doi: 10.1055/s-0040-1713765. eCollection 2022 Dec.

Abstract

Trigger finger is a frequent condition. Although tenosynovitis and the alteration of pulley A1 are identified as triggering factors, there is no consensus on the true cause in the literature, and its true etiology remains unknown. The diagnosis is purely clinical most of the time. It depends solely on the existence of finger locking during active bending movement. Trigger finger treatment usually begins with nonsurgical interventions that are instituted for at least 3 months. In patients with initial presentation with flexion deformity or inability to flex the finger, there may be earlier indication of surgical treatment due to pain intensity and functional disability. In the present review article, we will present the modalities and our algorithm for the treatment of trigger finger.

Keywords: tenosynovitis; trigger finger/diagnostic; trigger finger/surgery; trigger finger/therapy.