Case Report

A case of Multiple Bilateral Trigger Digits: Injection or Surgery?

Paul Nesbitt, Wiqqas Jamil, Prashant Jesudason and Lindsay Muir
World Journal of Medical and Surgical Case Reports 2013, 2:9

Abstract

Trigger finger is one of the most common problems presenting to hand clinics in the UK [1]. Characterised by catching or locking on extension of the flexed digit it can affect all the digits in the hand [3] with the ring, thumb and middle finger most frequently affected [1, 5] . The incidence of multiple digits being affected is between 20% [5] and 24% [6], with a higher Incidence in Diabetes Mellitus sufferers [5]. The most successful methods used to treat trigger finger are corticosteroid injection and surgical release [1, 11]. We report an extreme case of a patient with eight trigger digits in whom corticosteroid injection had previously failed, review the literature and advocate the use of surgical release as an earlier treatment option in those patients with multiply involved digits.

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