A Hole in One

Main Article Content

Rock Paul Vomer, DO, DPT Emma Richards York, DO Andre Abadin, DO Amanda Lazur, MS George GA Pujalte, MD


This case report discusses the presentation, diagnosis, and treatment of trigger finger in a 62-year-old right-handed male with a history of two months of right index finger pain and locking sensation. The patient's occupation and activities, such as typing, golfing, running, and biking, potentially contributed to the development of trigger finger. Physical examination revealed tenderness near the A1 pulley, a palpable nodule, and limited extension and abduction of the affected finger. Imaging showed mild degenerative changes and a small sesamoid bone. The patient received a corticosteroid injection to the tendon sheath, along with high-velocity low-amplitude (HVLA) manipulation and myofascial release to correct associated somatic dysfunctions. The patient experienced reduced pain and improved range of motion after treatment, and follow-up at one month showed complete resolution of symptoms.

Keywords: Trigger finger, A1 pulley, corticosteroid injection, somatic dysfunctions

Article Details

How to Cite
VOMER, Rock Paul et al. A Hole in One. Medical Research Archives, [S.l.], v. 12, n. 4, apr. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5234>. Date accessed: 27 may 2024. doi: https://doi.org/10.18103/mra.v12i4.5234.
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