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Sports Medicine

Trigger finger

07/26/2004

Question:

I am a competitive tennis player who plays 2-3 times a week. About two months ago during a match I felt a sudden "pop" on my left hand, my playing hand, during a stroke. A few days later I started having a "trigger finger" on my ring finger and have had it ever since. The finger remains curled when I unfurl my fist, and needs to be physically straightened. This happens most often when I wake up in the morning and generally disappears during the day. I feel a tightness along my ring finger and have trouble gripping my tennis racquet when making a hard stroke. What is a trigger finger and what is the usual treatment for it? Does it involve surgical correction? Thanks you.

Answer:

You have the classic signs of a "trigger finger."  There is a thickening of the flexor tendon that controls the "making a fist" action of the finger.  This thickened tendon gets stuck under the tight ring of tissue at the base of the finger.  It can be treated with injection of steroids into the thickened area or can be surgically removed.  Often after injection, the problem can recur.

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Response by:

University of Cincinnati Charles Webster, MD
Assistant Professor
Department of Family Medicine
College of Medicine
University of Cincinnati