Trigger finger

A finger that catches or locks when bending, due to tendon-sheath irritation.

Overview

Trigger finger occurs when a flexor tendon catches as it passes through a narrowed sheath, causing the finger to click, catch or lock. It often responds to splinting and injection, with surgery for stubborn cases.

Symptoms

  • Catching or locking of a finger when bending
  • A painful click at the base of the finger
  • Stiffness, often worse in the morning
  • A tender nodule at the base of the finger

Causes

  • Repetitive gripping
  • Tendon-sheath thickening
  • Associations with diabetes and inflammatory conditions

Treatment

  • Activity modification and splinting
  • Tendon-gliding exercise
  • Corticosteroid injection
  • Surgical release for persistent cases