Stenosing Tenosynovitis, (Trigger Finger) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Stenosing Tenosynovitis (Trigger Finger), Diagnosis and Treatment and Related Diseases

Trigger Finger (Stenosing Tenosynovitis)

Trigger finger you have made my finger stuck in a bent position
I cannot straighten it by myself; I need to push it to enable motion
When it becomes unstuck, it will pop out like a trigger
It is like a swollen tendon being pushed through a narrowed tunnel

This swollen tendon feels like a bump on the palm side of my finger
It is where the tendon get stuck in the narrowed tunnel
Do not do things with the hands by too much gripping
Or carry heavy bags with handles in the palms during carrying

Do not use the fingers to do repetitive movements
Try not to press the handle of a chopper on the meat’s hard ligaments
There will cause the tendon’s tunnel sheath to be compressed
As a result the sheath tunnel will collapse and become depressed

The treatment is to try exercising the fingers in warm water
And stretch the tendon through the tunnel’s depressed quarter
If that do not work you may need a shot of cortisone into the tendon sheath
Or Surgery to cut the narrowed tendon sheath for the tendon’s relief

-An original poem by Kenneth Kee

Stenosing tenosynovitis is the compression of the tendon sheath of one of the tendon to the fingers or thumb

The tendon sheath is a protective tunnel for the tendon which protects for the tendon as it travels across the finger's bones particularly at the joints.

Trigger Finger happens as a result of narrowing of the tendon sheath and the inflammation of the tendon.

The medical name for Trigger Finger is stenosing tenosynovitis.

Stenosing indicates the narrowing of an opening or passageway in the body.

The tendons slide through a protective covering termed the tendon sheath.

The sheath acts like a tunnel, and has an inner lining with a thin membrane termed synovium.

Areas of thick fibrous tissue called pulleys are also part of the tendon sheath.

These structures are connected to the bones of the fingers and thumb, and maintained the tendons close to the bones over which they pass.

Trigger finger is when a finger or thumb gets stuck in a bent position, like the patient is squeezing a trigger.

Once it gets “unstuck,” the finger will pop straight out, like a trigger being released.

In severe cases the finger cannot be straightened.

When the tendon gets stuck in the sheath, the finger becomes locked in the narrowed tendon sheath until the tendon is released from the tight region from forced movement of the locked finger using the other hand.

If left untreated an affected finger can become permanently bent inwards.

If the patient has a trigger finger, the patient may notice:
1. The finger is stiff or it locks in a bent position.
2. The patient has painful snapping or popping when the patient bend and straighten the finger.
3. The symptoms are worse in the morning.
4. The patient has a tender bump on the palm side of the hand at the base of the finger.
5. Trigger finger can happen in both children and adults, but it is more frequent in people who:
a. Is over age 45 or are female
b. Have diabetes, rheumatoid arthritis, or gout
c. Do work or activities that require repeated gripping of their hands

In infants no treatment is advised as most cases resolve spontaneously.

If the thumb deformity in the child has not corrected by the age of 3 years, surgery is advised.

Most trigger fingers in adults can be treated successfully with local steroid injections and splinting.

Trigger fingers that fail to respond to 2 injections normally need surgical dissection of the tendon nodule and release of the A1 pulley

TABLE OF CONTENT
Introduction
Chapter 1 Stenosing Tenosynovitis
(Trigger Finger)
Chapter 2 Causes
Chapter 3 Symptoms<

• Language: English
• Publisher: Kenneth Kee
• Release date: Mar 7, 2020
• ISBN: 9780463242513

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Stenosing Tenosynovitis,

(Trigger Finger)

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2020 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Stenosing Tenosynovitis (Trigger Finger), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Stenosing Tenosynovitis)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Trigger Finger (Stenosing Tenosynovitis)

Trigger finger you have made my finger stuck in a bent position

I cannot straighten it by myself; I need to push it to enable motion

When it becomes unstuck, it will pop out like a trigger

It is like a swollen tendon being pushed through a narrowed tunnel

This swollen tendon feels like a bump on the palm side of my finger

It is where the tendon get stuck in the narrowed tunnel

Do not do things with the hands by too much gripping

Or carry heavy bags with handles in the palms during carrying

Do not use the fingers to do repetitive movements

Try not to press the handle of a chopper on the meat’s hard ligaments

There will cause the tendon’s tunnel sheath to be compressed

As a result the sheath tunnel will collapse and become depressed

The treatment is to try exercising the fingers in warm water

And stretch the tendon through the tunnel’s depressed quarter

If that do not work you may need a shot of cortisone into the tendon sheath

Or Surgery to cut the narrowed tendon sheath for the tendon’s relief

-An original poem by Kenneth Kee

Stenosing tenosynovitis (Trigger Finger) is the compression of the tendon sheath of one of the tendon to the fingers or thumb (trigger thumb)

The tendon sheath is a protective