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An Evidenced-Based Approach To Conservative Management Of Trigger Finger

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1.  Trigger finger is believed to be the result of inflammation or thickening of the tissues which then results in ________________ a smooth glide, or in advances cases a locking up of the finger. More than Less than Equal to None of the above

2.  What is located at the metacarpal head and provides a "tunnel" for the tendon to run through? A1 pulley A2 pulley C1 pulley C2 pulley

3.  The third stage of stenosis tenosynovitis (SST) is: Locking of finger in flexion or extension and unlocked by passive motion Lock of finger in flexion or extension and unlocked by active motion Triggers = clicking = catching Uneven motion of the tendon

4.  Which of the following is a self-reported assessment of function? DASH/QuickDash Patient Specific Functional Scale Dynamometer strength testing Both A and B

5.  The occupational profile portion of the assessment includes all of the following EXCEPT: Comorbidities Interests Everyday tasks Work

6.  Interventions include which of the following? Activity modification Modalities to assist with pain and inflammation Orthotic management All of the above

7.  Activity modification includes which of the following? Implementing ergonomic principles: increasing surface size while grasping to decrease excursion of flexor tendon, i.e. larger diameter handles Altering/modifying the way a task is done to decrease overall need for repetitive or forceful grasping use of an orthosis for functional tasks to limit motion, rest the area, and for some, to provide a barrier to a tender area All of the above

8.  What is the most common and most successful in treating symptoms associated with trigger finger? MP block orthosis in 25 degrees flexion MP block orthosis in 5-10 degrees flexion MP block orthosis in 0-15 degrees flexion MP block orthosis in neutral

9.  The ___________________ stretch is effective for decreasing symptoms of trigger finger. A1 pulley and flexor tendon extension A1 pulley and flexor tendon flexion A2 pulley and flexor tendon extension A2 pulley and flexor tendon flexion

10.  Immobilization with an orthosis is a viable conservative option. MP block splint is the most common type used with an average wear time of: 2 weeks 6 weeks 8-10 weeks 12 weeks