A Hole in One

Article Sidebar

PDF Download
Published Apr 26, 2024
DOI: https://doi.org/10.18103/mra.v12i4.5234

Downloads

Download data is not yet available.

Submit your own article

Register as an author to reserve your spot in the next issue of the Medical Research Archives.

Author Registration

Join the Society

The European Society of Medicine is more than a professional association. We are a community. Our members work in countries across the globe, yet are united by a common goal: to promote health and health equity, around the world.

Join Europe’s leading medical society and discover the many advantages of membership, including free article publication.

Membership

Main Article Content

Rock Paul Vomer, DO, DPT
Department of Family Medicine, Avance Care, Wilmington North Carolina, 28411 & Department of Family Medicine, Mayo Clinic, Jacksonville, FL, 32224
Emma Richards York, DO
Department of Family Medicine, Prisma Health University of South Carolina, Columbia SC, 29208.
Andre Abadin, DO
Department of Family Medicine, University Washington, Seattle WA, 98195.
Amanda Lazur, MS
Department of Family Medicine, Avance Care, Wilmington North Carolina, 28411.
George GA Pujalte, MD
FACSM, FAMSSM. Department of Family Medicine & Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, 32224.

Abstract

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: 03 july 2024. doi: https://doi.org/10.18103/mra.v12i4.5234.
ABNT APA BibTeX CBE EndNote - EndNote format (Macintosh & Windows) MLA ProCite - RIS format (Macintosh & Windows) RefWorks Reference Manager - RIS format (Windows only) Turabian
Issue
Vol 12 No 4 (2024): April issue, Vol.12, Issue 4
Section
Research Articles

The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.

 

References

1. Andréu J-L, Otón T, Silva-Fernández L, Sanz J. Hand pain other than carpal tunnel syndrome (CTS): The role of occupational factors. Best Practice & Research Clinical Rheumatology. 2011;25(1):31-42. doi:10.1016/j.berh.2010.12.001
2. Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: Etiology, evaluation, and treatment. Current Reviews in Musculoskeletal Medicine. 2007;1(2):92-96. doi:10.1007/s12178-007-9012-1
3. Watanabe H, Hamada Y, Toshima T. Conservative management of infantile trigger thumb: Indications and limitations. Techniques in Hand and Upper Extremity Surgery. 2003;7(1):37-42. doi:10.1097/00130911-200303000-00008
4. Howitt S, Wong J, Zabukovec S. The conservative treatment of trigger thumb using Graston techniques and active release techniques. The Journal of the Canadian Chiropractic Association. December 2006. Accessed March 20, 2024. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1864591/.
5. Matthews A, Smith K, Read L, Nicholas J, Schmidt E. Trigger finger. JAAPA. 2019;32(1):17-21. doi:10.1097/01.jaa.0000550281.42592.97
6. Nicholas AS, Nicholas EA. Atlas of Osteopathic Techniques. 2nd ed. Wolters Kluwer; 2023.
7. Brozovich N, Agrawal D, Reddy G. A critical appraisal of adult trigger finger: Pathophysiology, treatment, and future outlook. Plastic and Reconstructive Surgery - Global Open. 2019;7(8). doi:10.1097/gox.0000000000002360
8. Merry SP, O’Grady JS, Boswell CL. Trigger finger? just shoot! Journal of Primary Care & Community Health. 2020;11:215013272094334. doi:10.1177/2150132720943345
9. Langer D, Maeir A, Michailevich M, Luria S. Evaluating hand function in clients with trigger finger. Occupational Therapy International. 2017;2017:1-8. doi:10.1155/2017/9539206
10. Z M, Q A, HR R, R H, MH P. Outpatient percutaneous release of trigger finger: A cost effective and safe procedure. Malaysian Orthopaedic Journal. 2017;11(1):52-56. doi:10.5704/moj.1703.021
11. Lin F-Y, Manrique OJ, Lin C-L, Cheng H-T. Incidence of trigger digits following carpal tunnel release. Medicine. 2017;96(27). doi:10.1097/md.0000000000007355
12. Shinomiya R, Sunagawa T, Nakashima Y, Yoshizuka M, Adachi N. Impact of corticosteroid injection site on the treatment success rate of trigger finger: A prospective study comparing ultrasound-guided true intra-sheath and true extra-sheath injections. Ultrasound in Medicine & Biology. 2016;42(9):2203-2208. doi:10.1016/j.ultrasmedbio.2016.05.015
13. Takahashi M, Sato R, Kondo K, Sairyo K. Morphological alterations of the tendon and pulley on ultrasound after intrasynovial injection of betamethasone for trigger digit. Ultrasonography. 2018;37(2):134-139. doi:10.14366/usg.17038
14. Mol MF, Neuhaus V, Becker SJ, Jupiter JB, Mudgal C, Ring D. Resolution and recurrence rates of idiopathic trigger finger after corticosteroid injection. HAND. 2013;8(2):183-190. doi:10.1007/s11552-013-9493-x
15. Burnham T, Higgins DC, Burnham RS, Heath DM. Effectiveness of osteopathic manipulative treatment for carpal tunnel syndrome: a pilot project. J Am Osteopath Assoc. 2015 Mar;115(3):138-48. doi: 10.7556/jaoa.2015.027. PMID: 25722360.
16. Jeanmonod R, Harberger S, Waseem M. Trigger Finger. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459310/
17. Bridges TN, Ohliger E, Kistler JM. Trigger Finger: Evaluation, Management, and Outcomes. SurgiColl. 2023;1(1). doi:10.58616/surgicoll.00003