Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of locking, catching, and pain at the base of the left index finger. Symptoms are most pronounced upon awakening and during repetitive gripping activities. Patient denies trauma, numbness, or paresthesia in the distal digits.
Clinical Examination Findings
Examination of the left hand reveals a palpable, tender nodule at the level of the A1 pulley of the index finger. Active flexion and extension demonstrate a distinct mechanical click and palpable snapping sensation. No signs of erythema, edema, or infection noted. Distal neurovascular status is intact.
Treatment Protocol
Treatment plan initiated with conservative management including activity modification, NSAIDs, and a splinting trial. Corticosteroid injection into the A1 pulley sheath discussed as a secondary option. Surgical release of the A1 pulley recommended if symptoms persist despite conservative measures.