Upper Extremity Tendinopathies (trigger digits, deQuervains, Lateral epicondylitis)-Case: Upper Extremity Tendinopathies (trigger digits, deQuervains, Lateral epicondylitis)

Case: Upper Extremity Tendinopathies (trigger digits, deQuervains, Lateral epicondylitis)

Pdf Summary

A 65-year-old female presents with a left middle trigger finger. She has a 20-degree PIP flexion contracture and has not had success with conservative treatment with steroid injections. The procedure is done under straight local anesthesia, and the A1 pulley is released. Surgical findings reveal that the white arrow signifies the FDS tendon, the white asterisk represents the A2 pulley, the black arrow indicates the FDP tendon, and the black asterisk denotes the A1 remnant. Despite the surgery, the patient still experiences triggering with active range of motion. The next step to correct the triggering is to perform resection of the FDS ulnar slip.

Keywords

65-year-old female

left middle trigger finger

20-degree PIP flexion contracture

steroid injections

A1 pulley release

surgical findings

FDS tendon

A2 pulley

FDP tendon

triggering