Trigger Finger: Difference between revisions
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<div class="noeditbox">Welcome to [[Texas State University Evidence-based Practice Project|Texas State University's Evidence-based Practice project space]]. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | <div class="noeditbox">Welcome to [[Texas State University Evidence-based Practice Project|Texas State University's Evidence-based Practice project space]]. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div><div class="editorbox"> | ||
'''<br>''' '''Original and Lead Editors''' - [[User:Holly Pulket|Holly Pulket]], [[User:Hilary Zachary|Hilary Zachary]], [[User:Angela Dempski|Angela Dempski]], [[User:Dana Williams|Dana Williams]], [[User:Shannon Davis|Shannon Davis]] | '''<br>''''''Original and Lead Editors''' - [[User:Holly Pulket|Holly Pulket]], [[User:Hilary Zachary|Hilary Zachary]], [[User:Angela Dempski|Angela Dempski]], [[User:Dana Williams|Dana Williams]], [[User:Shannon Davis|Shannon Davis]] | ||
</div> | </div> | ||
== Search Strategy == | == Search Strategy == | ||
<u>Databases</u>: CINAHL, PUBMED, PeDro | |||
<u>Keywords</u>: :trigger finger, trigger thumb, stenosing tenosynovitis, flexor tenosynovitis, flexor tendon stenosis, A1 pulley AND tendonitis, A2 pulley AND tendonitis | |||
<u>Timeline</u>: 9/15/2011 - 11/28/2011<br> | |||
== Definition/Description == | == Definition/Description == | ||
Trigger finger is a common condition that is thought to be caused by inflammation and subsequent narrowing of the A1 pulley. This can cause pain, clicking, catching, and loss of motion, especially into flexion, of the affected finger.<ref name="Makkouk">Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: etiology, evaluation, and treatment. Curr Rev Musculoskelet Med. 2008; 1:92–96.</ref><br> | Trigger finger is a common condition that is thought to be caused by inflammation and subsequent narrowing of the A1 pulley. This can cause pain, clicking, catching, and loss of motion, especially into flexion, of the affected finger.<ref name="Makkouk">Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: etiology, evaluation, and treatment. Curr Rev Musculoskelet Med. 2008; 1:92–96.</ref><br> | ||
== Epidemiology/Etiology == | == Epidemiology/Etiology == | ||
add text here <br> | add text here <br> | ||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
Trigger finger can have a range of clinical presentations. Initially the patient may present with painless clicking with movement of the digit. This can progress to painful catching or popping typically at the MCP or PIP joints, stiffness and swelling especially in the morning, loss of full flexion/extension, palpable painful nodule, and/or finger locked into a flexed position.<br> | Trigger finger can have a range of clinical presentations. Initially the patient may present with painless clicking with movement of the digit. This can progress to painful catching or popping typically at the MCP or PIP joints, stiffness and swelling especially in the morning, loss of full flexion/extension, palpable painful nodule, and/or finger locked into a flexed position.<br> | ||
== Differential Diagnosis == | == Differential Diagnosis == | ||
The main characteristic of trigger finger is a popping and/or catching with movement of the digit, especially in flexion to extension. However, this is not a unique characteristic to trigger finger. Other etiologies associated with a locking digits can include: | The main characteristic of trigger finger is a popping and/or catching with movement of the digit, especially in flexion to extension. However, this is not a unique characteristic to trigger finger. Other etiologies associated with a locking digits can include: | ||
Revision as of 23:36, 21 November 2011
Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!
'
'Original and Lead Editors - Holly Pulket, Hilary Zachary, Angela Dempski, Dana Williams, Shannon Davis
Search Strategy[edit | edit source]
Databases: CINAHL, PUBMED, PeDro
Keywords: :trigger finger, trigger thumb, stenosing tenosynovitis, flexor tenosynovitis, flexor tendon stenosis, A1 pulley AND tendonitis, A2 pulley AND tendonitis
Timeline: 9/15/2011 - 11/28/2011
Definition/Description[edit | edit source]
Trigger finger is a common condition that is thought to be caused by inflammation and subsequent narrowing of the A1 pulley. This can cause pain, clicking, catching, and loss of motion, especially into flexion, of the affected finger.[1]
Epidemiology/Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
Trigger finger can have a range of clinical presentations. Initially the patient may present with painless clicking with movement of the digit. This can progress to painful catching or popping typically at the MCP or PIP joints, stiffness and swelling especially in the morning, loss of full flexion/extension, palpable painful nodule, and/or finger locked into a flexed position.
Differential Diagnosis[edit | edit source]
The main characteristic of trigger finger is a popping and/or catching with movement of the digit, especially in flexion to extension. However, this is not a unique characteristic to trigger finger. Other etiologies associated with a locking digits can include:
- ↑ Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: etiology, evaluation, and treatment. Curr Rev Musculoskelet Med. 2008; 1:92–96.
