Trigger finger


  • Tenosynovitis of the flexor sheath of the finger or thumb as a result of repetitive use
  • Also known as stenosing tenosynovitis
  • Associated with:

Clinical Features

An example of trigger finger affecting the ring finger.
  • Delayed, painful extension of digit
  • Most commonly ring finger
  • Finger clicking
  • Palpable fibrous nodule
  • Tenderness at A1 pulley (distal palm)
  • Patients need to manually straighten finger with other hand
  • Contrast with Dupuytren’s contracture, which is not usually associated with pain or history of repetitive overuse

Differential Diagnosis

Hand and finger injuries


  • Clinical diagnosis (radiographs not indicated)


  • Conservative therapy
    • Rest
    • NSAIDs
    • Immobilization (buddy tape or finger splint)
  • Refractory cases may require steroid injection or surgery


  • Outpatient management

See Also