eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity

Trigger Thumb: Multimedia

Author: David R Steinberg, MD, Director of Hand Fellowship, Associate Professor, Department of Orthopedic Surgery, University of Pennsylvania Health System
Contributor Information and Disclosures

Updated: Sep 17, 2009

Multimedia

Incision for trigger thumb release placed in MP f...Media file 1: Incision for trigger thumb release placed in MP flexion crease, centered over flexor tendon nodule.
Incision for trigger thumb release placed in MP f...

Incision for trigger thumb release placed in MP flexion crease, centered over flexor tendon nodule.

Trigger thumb. A1 pulley exposed within surgical ...Media file 2: Trigger thumb. A1 pulley exposed within surgical field (arrow). Digital neurovascular bundles behind retractors.
Trigger thumb. A1 pulley exposed within surgical ...

Trigger thumb. A1 pulley exposed within surgical field (arrow). Digital neurovascular bundles behind retractors.

Trigger thumb. A1 pulley has been released; flexo...Media file 3: Trigger thumb. A1 pulley has been released; flexor pollicis longus tendon now exposed. Retractors have been removed to demonstrate proximity of neurovascular bundles (arrows) to tendon.
Trigger thumb. A1 pulley has been released; flexo...

Trigger thumb. A1 pulley has been released; flexor pollicis longus tendon now exposed. Retractors have been removed to demonstrate proximity of neurovascular bundles (arrows) to tendon.

More on Trigger Thumb

Overview: Trigger Thumb
Workup: Trigger Thumb
Treatment: Trigger Thumb
Follow-up: Trigger Thumb
Multimedia: Trigger Thumb
References
Further Reading

References

  1. De Smet L, Steenwerckx A, Van Ransbeeck H. The so-called congenital trigger digit: further experience. Acta Orthop Belg. Sep 1998;64(3):306-8. [Medline].

  2. Li Z, Wiesler ER, Smith BP, Koman LA. Surgical Treatment of Pediatric Trigger Thumb with Metacarpophalangeal Hyperextension Laxity. Hand (N Y). Sep 1 2009;[Medline].

  3. Chao M, Wu S, Yan T. The effect of miniscalpel-needle versus steroid injection for trigger thumb release. J Hand Surg Eur Vol. Aug 2009;34(4):522-5. [Medline].

  4. Lange-Rieß D, Schuh R, Hönle W, Schuh A. Long-term results of surgical release of trigger finger and trigger thumb in adults. Arch Orthop Trauma Surg. Jan 6 2009;[Medline].

  5. Rodgers WB, Waters PM. Incidence of trigger digits in newborns. J Hand Surg [Am]. May 1994;19(3):364-8. [Medline].

  6. Sampson SP, Badalamente MA, Hurst LC, et al. Pathobiology of the human A1 pulley in trigger finger. J Hand Surg [Am]. Jul 1991;16(4):714-21. [Medline].

  7. Boretto J, Alfie V, Donndorff A, Gallucci G, DE Carli P. A prospective clinical study of the A1 pulley in trigger thumbs. J Hand Surg Eur Vol. Jun 2008;33(3):260-5. [Medline].

  8. Bae DS. Pediatric trigger thumb. J Hand Surg [Am]. Sep 2008;33(7):1189-91. [Medline].

  9. Peters-Veluthamaningal C, van der Windt DA, Winters JC, Meyboom-de Jong B. Corticosteroid injection for trigger finger in adults. Cochrane Database Syst Rev. Jan 21 2009;CD005617. [Medline].

  10. Colbourn J, Heath N, Manary S, Pacifico D. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther. Oct-Dec 2008;21(4):336-43. [Medline].

  11. Rozental TD, Zurakowski D, Blazar PE. Trigger finger: prognostic indicators of recurrence following corticosteroid injection. J Bone Joint Surg Am. Aug 2008;90(8):1665-72. [Medline].

  12. Patel MR, Bassini L. Trigger fingers and thumb: when to splint, inject, or operate. J Hand Surg [Am]. Jan 1992;17(1):110-3. [Medline].

  13. Baek GH, Kim JH, Chung MS, Kang SB, Lee YH, Gong HS. The natural history of pediatric trigger thumb. J Bone Joint Surg Am. May/2008;90:980-5.

  14. Lee ZL, Chang CH, Yang WY, Hung SS, Shih CH. Extension splint for trigger thumb in children. J Pediatr Orthop. Nov-Dec/2006;26:785-7.

  15. Ogino T. Trigger thumb in children: current recommendations for treatment. J Hand Surg [Am]. Jul-Aug 2008;33(6):982-4. [Medline].

  16. Turowski GA, Zdankiewicz PD, Thomson JG. The results of surgical treatment of trigger finger. J Hand Surg [Am]. Jan 1997;22(1):145-9. [Medline].

  17. Schramm JM, Nguyen M, Wongworawat MD. The safety of percutaneous trigger finger release. Hand. Mar 2008;3(1):44-6. [Medline].

Further Reading

Related eMedicine topics

Trigger Finger (Orthopedic Surgery)

Trigger Finger (Physical Medicine and Rehabilitation)

Tenosynovitis (Emergency Medicine)

Fingers and Thumb, Trauma

Clinical guidelines

Trigger Finger (Stenosing Tenosynovitis)
.
American Society for Surgery of the Hand. Accessed October 22, 2008.

Trigger Finger.
American Academy of Orthopaedic Surgeons. Accessed October 22, 2008.

Clinical trial

Study Comparing One Versus Two Cortisone Injections for Trigger Finger

Keywords

trigger thumb, trigger finger, trigger finger rehabilitation, tenosynovitis, stenosing tenosynovitis, stenosing tendovaginitis, thumb pain, locked thumb, idiopathic trigger thumb, congenital trigger thumb, pediatric trigger thumb

Contributor Information and Disclosures

Author

David R Steinberg, MD, Director of Hand Fellowship, Associate Professor, Department of Orthopedic Surgery, University of Pennsylvania Health System
David R Steinberg, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Society for Surgery of the Hand
Disclosure: Johnson & Jonhnson nothing received, but own stock in company from personal investment None

Medical Editor

Joseph E Sheppard, MD, Associate Professor of Clinical Orthopedic Surgery, Chief of Hand and Upper Extremity Service, Department of Orthopedic Surgery, University of Arizona Health Sciences Center, University Physicians Healthcare
Joseph E Sheppard, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Society for Surgery of the Hand, Clinical Orthopaedic Society, and Western Orthopaedic Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Michael Yaszemski, MD, PhD, Associate Professor, Departments of Orthopedic Surgery and Bioengineering, Mayo Foundation, Mayo Medical School
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.

 
 
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