Trigger finger

Case contributed by Brendan Cullinane

Presentation

Painful palm

Patient Data

Age: 55
Gender: Male
Ultrasound

There was thickening of the A1 pulley. 

Case Discussion

There was thickening of the A1 pulley. Normal pulley should be less than 0.5 mm in thickness, if it is more than 1-1.5 mm its considered abnormal. The A2, 3, 4 and 5 pulleys were of normal calibre. There was accompanying tendinosis of the flexor digitorum superficialis and profundus tendon complex at A1.

Findings were consistent with the clinical diagnosis of trigger finger and characterised and localised the source of the problem.

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Case information

rID: 12919
Case created: 3rd Feb 2011
Last edited: 21st Feb 2016
Inclusion in quiz mode: Included

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