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Trigger finger, also known as stenosing tenosynovitis, is a disorder characterized by catching or locking of the involved finger in full or near full flexion, typically with force. [2] There may be tenderness in the palm of the hand near the last skin crease (distal palmar crease ). [ 3 ]
Release the thumb web space: it is possible to widen and deepen the area between the thumb and the index finger when it is too tight. To achieve this, a transposition flap or four-flap or five-flap Z-plasty can be used. Transposition flap: [17] skin flaps of the index finger and/or the thumb are moved to the web space.
Infectious tenosynovitis in 2.5% to 9.4% of all hand infections. Kanavel's cardinal signs are used to diagnose infectious tenosynovitis. They are: tenderness to touch along the flexor aspect of the finger, fusiform enlargement of the affected finger, the finger being held in slight flexion at rest, and severe pain with passive extension.
Congenital trigger thumb is a trigger thumb in infants and young children. Triggering, clicking or snapping is observed by flexion or extension of the interphalangeal joint (IPJ). In the furthest stage, no extension is possible and there is a fixed flexion deformity of the thumb in the IPJ.
Treatment for de Quervain tenosynovitis focuses on reducing inflammation, restoring movement in the thumb, and maintaining the range of motion of the wrist, thumb, and fingers. [6] Symptomatic alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered.
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The former first lady was notably absent from President Jimmy Carter's state funeral service, leading Barack Obama and Donald Trump to be seated next to one another