Trigger Finger

HISTORY:

Finger ‍poppinglocking for ‍ ‍hoursdays

Location: ‍rightleft ‍thumbindexmiddleringpinky

Pattern: ‍constantintermittent

Treatments tried: ‍none, ‍effectiveineffective

Occupation: ‍

Dominant hand: ‍rightleftboth



EXAM:

Hand: ‍rightleft: ‍no tenderness on ‍, range of motion ‍fulllimited

Finger: ‍rightleft ‍1st2nd3rd4th5th: ‍no tenderness on ‍, range of motion ‍fulllimited



ASSESSMENT:

Trigger Finger ‍likelysuspectedpossible

DDx: ‍



PLAN:

- X-ray of the hand

- Ultrasound of the hand

- Rest and activity modification

- Splinting of the affected finger

- Heat or ice application

- ‍Ibuprofen

- Corticosteroid injection

- Physical therapy

- Occupational therapy

- Surgery if conservative treatment fails

- Referral to orthopedic surgeon

- Referral to plastic surgeon

- Follow-up in ‍ ‍weeksmonths

- Return if symptoms worsen, if new symptoms develop such as pain or swelling, or if symptoms do not improve with treatment