Comprehensive narrative review of stenosing tenosynovitis covering pathomechanics, the full spectrum of conservative and surgical treatments, complications of A-1 pulley release, and how comorbidities — diabetes, rheumatoid arthritis, pediatric age — alter the diagnosis and management strategy.
When you see trigger finger in a diabetic, counsel early about the likelihood of injection failure and compromised surgical results — and when you see it in a rheumatoid patient, recognize that A-1 pulley release is contraindicated and tenosynovectomy with pulley preservation is the correct operation.
Comprehensive narrative review of stenosing tenosynovitis covering pathomechanics, the full spectrum of conservative and surgical treatments, complications of A-1 pulley release, and how comorbidities — diabetes, rheumatoid arthritis, pediatric age — alter the diagnosis and management strategy.
When you see trigger finger in a diabetic, counsel early about the likelihood of injection failure and compromised surgical results — and when you see it in a rheumatoid patient, recognize that A-1 pulley release is contraindicated and tenosynovectomy with pulley preservation is the correct operation.