Stenosing tenosynovitis

What is Stenosing tenosynovitis?

Stenosing tenosynovitis (also known as trigger finger or trigger thumb) is a painful condition caused by the inflammation (tenosynovitis) and progressive restriction of the superficial and deep flexors fibrous tendon sheath adjacent to the A1 pulley at a metacarpal head. Repetitive forceful compression, tensile stress, and resistive flexion, causes inflammation, swelling, and microtrauma, that results in thickening and stenosis (commonly a nodular formation) of the tendon distal to the pulley leading to a painful digital base, limitation of finger movements, triggering, snapping, locking, and deformity progressively.

Patients report a popping sound at the proximal interphalangeal joint (PIP), morning stiffness with/without triggering, delayed and sometimes painful extension of the digit, and when more advanced, a locking position that requires manipulation to extend the affected finger. This condition more commonly affects the middle and ring fingers (occasionally the thumb), and the flexor rather than extensor tendons in the hand.

In rheumatic trigger finger (or in diabetes), more than one finger may be involved. Cases of stenosing peroneal tenosynovitis, have been reported where the patient presents with pain over the lateral malleolus, both with active and passive range of motion and no physical of radiographic evidence of instability.

Questions and answers on "Stenosing tenosynovitis"

I am 54 yr old female nurse. I am experiencing painful dequervian thumb to dominant hand,
and a couple of weeks ago, woke up with my middle finger...

doctor1 MD

**
1. de quervian is more common in women and tends to occur during pregnancy and after Menopause [54 years] and is also associated with other...

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i have been taking pilocarpine for dry mouth for sjogren's syndrome since about 1998. I stopped progression of dental caries. My rheumatologist...

doctor1 MD

Thank you for your query.

Sjogren's syndrome is a disease of female preponderance.
But it is your bad luck that you are suffering from it.

Evoxac...

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my wrist keeps paining me when i do activity and also its painful if i carry any bags in it throwing a ball is very painfull

doctor1 MD

Hi ,
Thank you for your query.
Madam you might be suffering from tendinitis or tenosynovitis.
Tenosynovitis is inflammation of the lining of the...

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Recent questions on  Stenosing tenosynovitis

doctor1 MD

I am 54 yr old female nurse. I am experiencing painful dequervian thumb to dominant hand, and a couple of weeks ago, woke up with my middle finger...

doctor1 MD

i have been taking pilocarpine for dry mouth for sjogren's syndrome since about 1998. I stopped progression of dental caries . My rheumatologist...

doctor1 MD

Doctor, I'm writing to you on behalf of my female friend, 28 years old living in Europe. 2 weeks ago she woke up one morning with pain in her...

doctor1 MD

my wrist keeps paining me when i do activity and also its painful if i carry any bags in it throwing a ball is very painfull

doctor1 MD

I woke up with my left thumb straight, and couldn t bend it. When trying to bend it at the first joint close to the nail I have to actually force...

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