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TRIGGER FINGERS, longitudinal incision in palmar crease over MCP joints of…
TRIGGER FINGERS
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INVESTIGATION
physical examination
1) observe a digit lock in flexion
2) palpate painful nodules
3) loss of motion
4) grip strength & manual testing (MMT)
5)TEST : open & close hand 10x
longitudinal incision in palmar crease over MCP joints of involved digits & followed by relase of FDS and Profundus tendon
two incisions- one at palmar crease over MCP joint & other at the volar crease of finger to release flexor tendon
injecting lidocaine locally to numb the area and releasing the A1 pulley with a needle under live ultrasound imaging