Trigger Finger

Overview

4.7 out of 5 (35 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Sep 2023

Last Review Date

5 Feb 2024

Expiration Date

31 Aug 2026

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, physician associates, nurses, pharmacists, and nurse practitioners.

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

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Orthopaedic Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment Examination requirements of the American Board of Orthopaedic Surgery’s (ABOS) Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this 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. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

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

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Acacia S. on 5/2/2024

Lauren S. on 7/2/2024

PATRICK C. on 9/19/2024

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