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Trigger Finger or Trigger Thumb

Trigger finger/trigger thumb is the loss of smooth tendon gliding within the A1 pulley of the finger and or thumb. It causes pain, clicking, catching, or ultimately locking of the finger. This condition affects up to 3% of the population and up to 10% of diabetics.

Risk Factors 

  • Female

  • Diabetes

  • Middle to Elderly Age Groups

  • Inflammatory Arthritis

  • Gout

  • Pseudogout

  • Hypothyroidism

  • Sarcoidosis

  • Amyloidosis

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Symptoms

  • Pain at base of finger or thumb at palm
  • Mechanical symptoms of triggering of the finger or thumb

Non Surgical Treatment


Nonsteroidal anti-inflammatory medications and activity modifications may provide some relief. Steroid injection(s) are typically reasonable options in most patients. Bracing may be an alternative option for patients with joint stiffness.

Surgical Treatment Options

Release of the pulley or tunnel usually provides relief for most patients. Some patients may possibly need excision of part of the flexor tendon for treatment.

Additional Information

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