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Trigger Finger

Trigger finger is a condition that affects the tendons in your fingers or thumb. It can limit finger movement. When you try to straighten your finger, it may lock or catch before popping straight out.

Anatomy

Tendons are tissues that connect muscles to bone. When muscles contract, tendons pull on bones. This is what causes some parts of the body to move. The muscles that move the fingers and thumb are located in the forearm, above the wrist. Long tendons – called the flexor tendons – extend from the muscles through the wrist and attach to the small bones of the fingers and thumb. When you bend or straighten your finger, the flexor tendon slides through a snug tunnel, called the tendon sheath, which keeps the tendon in place next to the bones.

Image credit to Saint Lukes Health System

Description

The flexor tendon can become irritated as it slides through the tendon sheath tunnel. As it becomes more and more irritated, the tendon may thicken and nodules may form, making its passage through the tunnel more difficult. The tendon sheath may also thicken, causing the opening of the tunnel to become smaller. If you have trigger finger, the tendon may become momentarily stuck at the mouth of the tendon sheath tunnel when you try to straighten your finger. You might feel a pop as the tendon slips through the tight area, and your finger will suddenly shoot straight out.

Cause

The cause of trigger finger is usually unknown. There are factors that put people at greater risk for developing it.

  • Trigger fingers are more common in women than men
  • They occur most frequently in people who are between the ages of 40 and 60 years
  • Trigger fingers are more common in people with certain medical problems, such as diabetes and rheumatoid
    arthritis
  • Trigger fingers may occur after activities that strain the hand

Symptoms

Symptoms of trigger finger usually start without injury, although they may follow a period of heavy hand use. One or more fingers may be affected. Symptoms may include:

  • A tender lump in your palm
  • Swelling
  • Catching or popping sensation in your finger or thumb joints
  • Pain when bending or straightening your finger
    Stiffness or catching tends to be worse after inactivity, such as when you wake up in the morning. Your fingers will often
    loosen up as you move them.
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