Orthopedics Book

Cardiovascular Medicine

Fracture Management

Intra-Articular Disorders

Ligament

Neurology

Rheumatology

Tendon

Dermatology Chapter related topics

Anatomy Chapter related topics

Examination Chapter related topics

Infectious Disease Chapter related topics

Procedure Chapter related topics

Rheumatology Chapter related topics

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Trigger Finger

Aka: Trigger Finger, Tenosynovitis
  1. See Also
    1. Overuse Syndromes of the Hand and Wrist
    2. De Quervain's Tenosynovitis
  2. Pathophysiology
    1. Swelling of flexor tendon and sheath
      1. Difficult passage of swollen tendon through pulley
      2. Analogous to knotted fishing line in pole eyes
    2. Congenital form seen in some children
  3. Signs and symptoms
    1. Snapping or triggering of affected finger at MCP joint
      1. Worse after rest
      2. Improves with active finger use
    2. Triggering transmitted to DIP joint
      1. Entire finger may lock
    3. Proximal flexor pulley swelling
      1. Tenderness to palpation
      2. Swollen, firm mass palpable at pulley
  4. Management
    1. Similar approach as for De Quervain's Tenosynovitis
    2. NSAIDs
    3. Immobilization
    4. Avoid offending activity
    5. Moist heat as needed
    6. Digital Flexor Tenosynovitis Injection
    7. Surgical correction if refractory to above management

Tenosynovitis (C0039520)

Definition (MSH) Inflammation of the synovial lining of a tendon sheath. Causes include trauma, tendon stress, bacterial disease (gonorrhea, tuberculosis), rheumatic disease, and gout. Common sites are the hand, wrist, shoulder capsule, hip capsule, hamstring muscles, and Achilles tendon. The tendon sheaths become inflamed and painful, and accumulate fluid. Joint mobility is usually reduced.
Concepts Disease or Syndrome (T047)
MSH D013717
SnomedCT 240035004, 67801009, 156666009, 268092005
English Tenosynovitides, Tenosynovitis, TENOSYNOVITIS, Tenosynovitis, NOS, tenosynovitis (diagnosis), tenosynovitis, Tenosynovitis [Disease/Finding], Inflammation of the tendon sheath, tendinous synovitis, tendovaginitis, tenovaginitis, Inflammation of tendon sheath, Tendinous synovitis, Tendovaginitis, Tenontolemmitis, Tenosynovitis (disorder), Tenovaginitis, Vaginal synovitis, Peritendinitis, peritendinitis, Tenosynovitis NOS
French TENOSYNOVITE, Péritendinite, Tendovaginite, Ténosynovite
Spanish TENOSINOVITIS, Peritendinitis, Tendovaginitis, Tenosynovitis, Inflammation of tendon sheath, tenosinovitis, tendosinovitis (trastorno), tendosinovitis, tenosinovitis (trastorno), sinovitis tendinosa, sinovitis vaginal, tendovaginitis, tenovaginitis, Tenosinovitis
Dutch peritendinitis, tendovaginitis, tenosynovitis, Synovitis, teno-, Tenosynovitis
German Peritendinitis, Tendosynovitis, Tenosynoviitis, Tenosynovitis, TENDOSYNOVITIS, Tendovaginitis, Sehnenscheidenentzündung
Italian Peritendinite, Tendovaginite, Tenosinovite
Portuguese Peritendinite, Tendovaginite, TENOSINOVITE, Tendossinovite, Tenossinovite
Japanese 腱鞘炎, 腱周囲炎, ｹﾝｼｮｳｴﾝ, ｹﾝｼｭｳｲｴﾝ
Swedish Senskideinflammation
Czech tenosynovitida, Tendosynovitida, Peritendinitida, Tendovaginitida
Finnish Jännetuppitulehdus
Russian TENDOVAGINIT, TENOSINOVIT, ТЕНДОВАГИНИТ, ТЕНОСИНОВИТ
Polish Zapalenie pochewki ścięgna
Hungarian Peritendinitis, Tendovaginitis, Tenosynovitis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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