Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Sep 9;9(9).
doi: 10.2106/JBJS.RVW.21.00006.

Current Concepts in the Management of Advanced Trigger Finger: A Critical Analysis Review

Yuri Pompeu  1 , Bryan Aristega Almeida  1   2 , Kyle Kunze  1 , Emily Altman  1 , Duretti T Fufa  1   2
Affiliations
Review

Current Concepts in the Management of Advanced Trigger Finger: A Critical Analysis Review

Yuri Pompeu et al. JBJS Rev. .

Abstract

»: While the majority of patients with trigger finger obtain excellent outcomes from nonoperative treatment or release of the A1 pulley, a subset of patients with advanced trigger finger, defined as trigger finger with loss of active or passive range of motion, may have incomplete symptom relief and warrant specific attention.

»: Advanced trigger finger is more refractory to complete symptom resolution from corticosteroid injection, and particular attention should be paid to incomplete improvement of flexion contractures.

»: Unlike simple trigger finger, the pathology in advanced trigger finger involves not only the A1 pulley but also the flexor tendon, including thickening and degeneration.

»: Progression toward surgical intervention should not be delayed when nonoperative measures fail, and specific attention should be paid to persistent inability to achieve full extension following A1 pulley release.

»: Facing substantial residual flexion contracture, reduction flexor tenoplasty and partial or complete resection of the superficialis tendon followed by hand therapy and splinting may be needed to allow patients to regain reliable full range of motion.

PubMed Disclaimer

Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A746).

References

    1. Gil JA, Hresko AM, Weiss AC. Current Concepts in the Management of Trigger Finger in Adults. J Am Acad Orthop Surg. 2020 Aug 1;28(15):e642-50.
    1. Lunsford D, Valdes K, Hengy S. Conservative management of trigger finger: A systematic review. J Hand Ther. 2019 Apr - Jun;32(2):212-21.
    1. Quinnell RC. Conservative management of trigger finger. Practitioner. 1980 Feb;224(1340):187-90.
    1. Wolfe SW, Pederson WC, Kozin SH, Cohen MS. Green’s Operative Hand Surgery. Philadelphia, PA: Elsevier; 2016.
    1. David M, Rangaraju M, Raine A. Acquired triggering of the fingers and thumb in adults. BMJ. 2017 Nov 30;359:j5285.

LinkOut - more resources