Trigger fingers occur when the flexor tendon or the sheath that it glides in becomes swollen, causing the digit to ‘catch or ‘pop’ with flexion or extension. The thumb, index, and middle fingers are most commonly involved. Like other tendinopathies, trigger finger is inherited, but can also be associated with diabetes and inflammatory diseases like rheumatoid arthritis. Steroid injections are very helpful, and often curative for this problem. If the triggering recurs, a percutaneous trigger release may be done in the office.



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