Trigger Finger

Trigger fingers cause pain in the palm of the hand and snapping, clicking or triggering of the involved finger. In the early stages finger movement is uneven and if untreated, this progresses to snapping of the finger as one makes a fist. With time, the finger gets unexpectedly locked when one tries to hold an object. Finally, the finger locks in bent position as the tendon gets locked outside the flexor tendon sheath or the sleeve. Rarely, the patient cannot make a full fist as tendon becomes locked inside the sleeve of the tendon. It is painful to unsnap and straighten the finger. Finally, the finger becomes locked in the bent position and cannot be unlocked any more. Trigger finger may occur in one or more fingers at the same time or may occur in different fingers at different times.

The condition can be treated in two ways:

STEROID INJECTION

A small quantity of steroid is injected around the tendon flattening out the swelling of the tendon which then allows it to run smoothly in and out of the sheath once more. In some cases a further injection is necessary.

SURGERY     

If steroid injections fail to work surgery becomes necessary which is carried out under local anaesthetic. Surgery widens the opening of the tunnel so the tendon can slide through more easily. This is usually done through a small incision in the palm. Sometimes the tunnel can be safely opened with the tip of a needle. Some soreness in the palm is common but recovery is usually complete in a few weeks.


Consultant Clinic Times

Mr Paul Davey
BSc MBBS FRCSEd (Tr&Orth)

Speciality

Orthopaedics Hand Surgery (Orthopaedic) Wrist Surgery Sports Injuries

Clinic Times

Mon
Tue
Wed
Thu
Fri
Sat
AM
PM
Eve

= All
= Alternate weeks

Mr Andrew Fleming
FRCS(Ed) FCS(SA)PLAST

Speciality

Plastic surgery Hand Surgery (Plastic)

Clinic Times

Mon
Tue
Wed
Thu
Fri
Sat
AM
PM
Eve

= All
= Alternate weeks

Mr Arjuna (Arj) Imbuldeniya
MBBS, B.Med.Sci, MSc, DIC, FRCS(Tr&Orth)

Speciality

Orthopaedics Knee Surgery Hip Surgery Wrist Surgery Sports Injuries

Clinic Times

Mon
Tue
Wed
Thu
Fri
Sat
AM
PM
Eve

= All
= Alternate weeks

Miss Fiona Middleton
MA(oxon), FRCS(Tr & Orth)

Speciality

Orthopaedics Knee Surgery Hand Surgery (Orthopaedic) Sports Injuries

Clinic Times

Mon
Tue
Wed
Thu
Fri
Sat
AM
PM
Eve

= All
= Alternate weeks

Mr Gordon McArthur
MBChB, MFST, FEBHS, FRCS (Plast)

Speciality

Hand Surgery (Plastic) Wrist Surgery

Ad hoc clinic times available

Mr Nashat Siddiqui
MBBS, BSc, FRCS (Tr & Orth)

Speciality

Orthopaedics Shoulder Surgery Elbow Surgery Hand Surgery (Orthopaedic) Wrist Surgery Sports Injuries

Clinic Times

Mon
Tue
Wed
Thu
Fri
Sat
AM
PM
Eve

= All
= Alternate weeks

Clinic Times

Mon
Tue
Wed
Thu
Fri
Sat
AM
PM
Eve

= All
= Alternate weeks