Trigger Finger

Overview

4.7 out of 5 (32 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Jan 2021

Last Review Date

5 Feb 2024

Expiration Date

31 Dec 2023

Estimated Time To Finish

60 Minutes


 
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Activity Description

Trigger finger or stenosing tenosynovitis is a prevalent condition arising from the repetitive use of the fourth finger and thumb. This results in significant functional impairment and tenosynovitis within the flexor sheaths of both the fingers and thumb. The development of trigger finger is attributed to a narrowing of flexor pulley sheaths, accompanied by hypertrophy and inflammation at the tendon-sheath interface, leading to the formation of nodules on the tendon. Although trigger finger classically involves the A1 pulley sheath located at the metacarpophalangeal joint, which is the proximal section of the tendon sheath, it can also occur at A2 (proximal interphalangeal joint) or A3 (distal interphalangeal joint).

The etiology of trigger finger is multifaceted and can be associated with specific comorbid diseases, such as diabetes, amyloidosis, carpal tunnel syndrome, gout, thyroid disease, and rheumatoid arthritis, in adults. Traumatic forces lead to hypertrophy and inflammation of the tendon and its sheath, resulting in catching and locking sensations due to the inability to slide smoothly within its sheath. Ultrasound is the preferred imaging modality for evaluating this condition. Trigger finger can be managed either by nonsurgical approaches, such as steroid injection and splinting, or surgical interventions. The activity explores the pathophysiology, risk factors, and clinical presentation of trigger finger, highlighting its frequent occurrence attributed to the repetitive use of the fourth finger and thumb. This activity enhances the proficiency of interprofessional healthcare providers by providing them with the latest skills to evaluate and manage trigger finger, as well as to deliver well-coordinated care and optimize patient outcomes.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the diverse clinical presentations of trigger finger by recognizing associated comorbid conditions and distinguish the need for nonsurgical interventions and surgical approaches.

  • Screen patients effectively using ultrasound as the preferred imaging modality for accurate diagnosis and assessment of trigger finger.

  • Apply surgical interventions when nonsurgical approaches prove ineffective by considering patient-specific factors such as comorbidities and symptom severity.

  • Collaborate with other healthcare professionals to understand trigger finger pathophysiology, risk factors, and emerging treatment modalities to facilitate shared decision-making and enhance treatment outcomes.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

Don I. on 5/5/2021

Bonnie R. on 6/16/2021

Stephanie K. on 11/16/2021

Bhupendra G. on 3/28/2022

Richard S. on 4/14/2022

Blake K. on 4/17/2022

Robin A. on 5/10/2022

Edward M. on 5/18/2022

Megan M. on 6/7/2022

Bonnie R. on 6/23/2022

Aimee S. on 6/30/2022

Stephanie K. on 8/19/2022

Crystal M. on 12/21/2022

David g. on 1/26/2023

Sydney M. on 4/8/2023

Leon B. on 5/23/2023

Scott B. on 5/27/2023

Anjela S. on 7/11/2023

Will M. on 10/2/2023

Pictures would help

Sarah F. on 10/4/2023

Denise W. on 11/1/2023

Keaton A. on 11/13/2023

LIDIA I. on 11/15/2023

Andrew D. on 12/24/2023

Michael N. on 12/26/2023

Erika G. on 12/31/2023

Susan S. on 1/1/2024

Garrett A. on 1/14/2024

Tran P. on 3/18/2024

Francis P. on 2/16/2024

Robert H. on 2/25/2024

Laura B. on 3/3/2024

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