{"id":4487,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/triggerfingertriggerthumb\/"},"modified":"2024-06-27T13:43:30","modified_gmt":"2024-06-27T12:43:30","slug":"triggerfingertriggerthumb","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatricorthopaedics\/triggerfingertriggerthumb\/","title":{"rendered":"Trigger Finger\/Trigger Thumb"},"content":{"rendered":"\n<p>\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p>&#8216;Fixed or intermittent deformity at the thumb IP joint &#8216;<br><\/p>\n\n\n\n<p>Flexor tendon gliding is prevented due to impingement at level of the A1 pulley.&nbsp; This causes difficulty in flexing and extending the IPJ (thumb) and PIPJ (finger)<br><\/p>\n\n\n\n<p>Symptoms: Pain, clicking, catching, locking of the digit in flexion<br><\/p>\n\n\n\n<p>Diagnosis: Active triggering or fixed flexion, pain\/tenderness over the A1 pulley (over metacarpal head\/MCPJ of affected digit on the volar surface), palpable nodule over the A1 pulley of affected digit.<br><\/p>\n\n\n\n<p>Differential:&nbsp;<span>Check for signs of inflammation\/infection, may be flexor tenosynovitis<\/span><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>If digit moving freely but painful, catching or intermittently locking please refer to stretching advice sheet and consider NSAIDs and referral to Hand Physio<\/p>\n\n\n\n<p>If digit locked in flexion please refer to either Paediatric Orthopaedics or Plastic Surgeons<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Information &lsquo;Fixed or intermittent deformity at the thumb IP joint &lsquo; Flexor tendon gliding is prevented due to impingement at level of the A1 pulley.&nbsp; This causes difficulty in flexing and extending the IPJ (thumb) and PIPJ (finger) Symptoms: Pain, clicking, catching, locking of the digit in flexion Diagnosis: Active triggering or fixed flexion, pain\/tenderness<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[563],"class_list":["post-4487","page","type-page","status-publish","hentry","category-triggerfinger"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/plasticsurgery\/handsurgery\/triggerfinger\/\" rel=\"tag\">Trigger Finger<\/a>","rttpg_excerpt":"&#8203;Information &lsquo;Fixed or intermittent deformity at the thumb IP joint &lsquo; Flexor tendon gliding is prevented due to impingement at level of the A1 pulley.&nbsp; This causes difficulty in flexing and extending the IPJ (thumb) and PIPJ (finger) Symptoms: Pain, clicking, catching, locking of the digit in flexion Diagnosis: Active triggering or fixed flexion, pain\/tenderness","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4487","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4487"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4487\/revisions"}],"predecessor-version":[{"id":19918,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4487\/revisions\/19918"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}