Trigger Finger Due to Anomaly of Lumbrical Insertion: A Case Report and Review of Literature.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 01 2023
Historique:
received: 31 07 2022
accepted: 24 11 2022
entrez: 27 1 2023
pubmed: 28 1 2023
medline: 1 2 2023
Statut: epublish

Résumé

Trigger finger (TF), or stenosing synovitis, is a common condition that can usually be diagnosed by physical examination. We recently operated on a patient with TF who did not respond to conservative treatment. At surgery, we found an anomalous insertion of the fourth lumbrical muscle to the A1 pulley. This insertion was observed to cause mechanical narrowing of the pulley due to a pulling effect by the muscle, which was relieved by resection. Although rare, the operating surgeon should be aware that local anatomical anomalies, such as insertion of a lumbrical into the A1 pulley, can be a cause of trigger finger.

Identifiants

pubmed: 36706216
doi: 10.2106/JBJS.CC.22.00504
pii: 01709767-202303000-00018
doi:

Types de publication

Review Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C5).

Références

Pompeu Y, Aristega Almeida B, Kunze K, Altman E, Fufa DT. Current concepts in the management of advanced trigger finger: A Critical Analysis Review. JBJS Rev. 2021;9(9). doi: 10.2106/JBJS.RVW.21.00006.
Fiorini HJ, Santos JBG, Hirakawa CK, Sato ES, Faloppa F, Albertoni WM. Anatomical study of the A1 pulley: length and location by means of cutaneous landmarks on the palmar surface. J Hand Surg Am. 2011;36:464-8.
David M, Rangaraju M, Raine A. Acquired triggering of the fingers and thumb in adults. BMJ. 2017;359:j5285.
Lunsford D, Valdes K, Hengy S. Conservative management of trigger finger: a systematic review. J Hand Ther. 2019;32:212-21.
Kuczmarski AS, Harris AP, Gil JA, Weiss APC. Management of diabetic trigger finger. J Hand Surg Am. 2019;44:152-3.
Oron A. The A1 pulley as a fulcrum for flexor tendon excursion: a histopathological study. Muscle ligament tendon J Nr. 2022;12(1):55-9.
Shultz KJ, Kittinger JL, Czerwinski WL, Weber RA. Outcomes of corticosteroid treatment for trigger finger by stage. Plast Reconstr Surg. 2018;142:983-90.
McKee D, Lalonde J, Lalonde D. How many trigger fingers resolve spontaneously without any treatment? Plast Surg (Oakv). 2018;26:52-4.
Gross C. Grays Anatomy of Human Body. 1972:485.
Basu S. Variations of the lumbrical muscles of the hand. Anat Rec. 1960;136:501.
Mehta H, Gardner Wu. A study of lumbrical muscles in the human hand. Am J Anat. 1961 Nov;109:227-38. doi: 10.1002/aja.1001090302.
Butler B Jr, Bigley EC Jr. Aberrant Index (first) lumbrical tendinous origin associated with carpal tunnel syndrome. J Bone Joint Surg. 1971 Jan;53(1):160-2. PMID: 5540152.
Thomas H, Shehadi SI. Trigger finger secondary to anomalous lumbrical insertion: a case report and review of literature. Plast Reconstr Surg. 1991;87:361.

Auteurs

Ayman Khoury (A)

Kaplan Medical Center, Affiliated with Hebrew University Medical School, Hebrew, Israel.

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Classifications MeSH