Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of locking, catching, and pain at the base of the right [Digit] finger. Symptoms are worse in the morning and improve with activity. Patient reports associated tenderness at the A1 pulley and occasional inability to actively extend the digit without manual assistance. No history of trauma or recent infection.
Clinical Examination Findings
Physical examination of the right hand reveals a palpable, tender nodule at the level of the metacarpophalangeal (MCP) joint of the [Digit] finger. Triggering is reproducible upon active flexion and extension. No signs of erythema, warmth, or infection. Neurovascular status is intact with normal capillary refill and sensation in the digital nerves.
Treatment Protocol
Recommended treatment plan includes conservative management with NSAIDs, activity modification, and splinting. Corticosteroid injection into the A1 pulley sheath is discussed and performed. If symptoms persist, surgical release of the A1 pulley will be considered. Patient advised to monitor for signs of infection or neurovascular compromise.