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Bob's Medical Institution:

Specifically for use by Bob

Patient History

Pt name: Sir Bob McBob

DOB: 12/25/1111

PCP: Bob McBobbob, MD

Hx of Present Illness: Pt is a centuries y/o male with c/o pain and stiffness from the L ring finger when pt tries to flex or extend his digits after hrs of sword practice. Happened simultaneously with L thumb; thumb straightened to resting position after a popping sound occurred.

Medications: N/A

Medication Allergies: PCN

Past Surgical Hx: rhinoplasty after slice by sword

Past Medical Hx: LBP

Review of Symptoms: Musculoskeletal: pos. For early signs of arthritis. muscle and tendon swelling.

Family History: Arthritis and suspicious amounts of cephalectomies.

Physical examination: Inflammation of the tendon extending to the digits. Locked L ring finger in a curved position. No other suspicions in other tendons or muscles within the forearm or palm regions.

Treatment: OTC NSAID PRN. RICE without any major ROM activity of the digits until symptoms are no longer present. If symptoms continue or worsen, surgery may be required to open the tendon't sheath.

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The tendons that extend and control the movement that flexes and moves the fingers lock whenever a finger is tried to be flexed or straightened out.

This inflammation and irritation can be caused by gripping with the fingers constantly without much rest in between actions with the digits.

The sheath surrounding these tendons swell due to these repeated actions and the tendons can no longer easily travel through, resulting in trigger finger.

Trigger finger can also be caused by other health situations like the presence of arthritis.

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When Bob goes in for a diagnosis, the doctor will exam the hand to see if inflammation is occurring at the sheath area where the tendon runs through in order to reach the digits.

Whenever Bob tries to move the locked fingers, a clicking/popping noise might occur, which will also be observed by the doctor as this is a sign for trigger finger.

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The doctor might recommend a variety of treatments for Bob depending on the severity of the trigger finger present, such as just simply resting the hand and digits if it isn't that bad, or maybe a splint of much pain and stiffness is occurring.

Anti-inflammatory drugs can be used to help lower the inflammation happening within the sheath area so that the tendon can more easily traverse through.

In the most severe of cases, a surgical plan may be decided to cut into the hand and open the sheath physically.

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This muscular condition is also called trigger thumb when it happens in the thumb.

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-The more medically accurate name for Trigger finger is Stenosing Tenosynovitis

-Can use steroidal injections that go directly into the inflamed sheath to lower the swelling

-Mostly happens in the hand of the patients that is their dominant

-Sir Bob Mcbob was born in the century that Notre Dame first began construction

-His nose was sliced during the Invasion Of Ireland in 1171

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Trigger finger - Diagnosis and treatment - Mayo Clinic. (n.d.). https://www.mayoclinic.org/diseases-conditions/trigger-finger/diagnosis-treatment/drc-20365148

Trigger Finger - Trigger Thumb - OrthoInfo - AAOS. (n.d.). https://orthoinfo.aaos.org/en/diseases--conditions/trigger-finger/#:~:text=Trigger%20finger%20is%20a%20condition,also%20known%20as%20stenosing%20tenosynovitis.

Website, N. (2024, February 20). Treatment. nhs.uk. https://www.nhs.uk/conditions/trigger-finger/treatment/

Zanzin, M. (n.d.). Expert Trigger Finger Treatment | Active Recovery Hand Therapy. Active Recovery Physiotherapy & Hand Clinic. https://activerecovery.ca/services/hand-therapy/treating-trigger-finger

Chang, E. Y., Chen, K. C., & Chung, C. B. (2015). MR imaging findings of trigger thumb. Skeletal Radiology, 44(8), 1201–1207. https://doi.org/10.1007/s00256-015-2172-y

Trigger finger (Stenosing tenosynovitis). (n.d.). Massachusetts General Hospital. https://www.massgeneral.org/orthopaedics/hand/conditions-and-treatments/trigger-finger-stenosing-tenosynovitis

Schulman, M. (n.d.). World History 1100-1200 AD. https://www.historycentral.com/dates/1100ad.html

Orthopedic, R. (2022, March 29). 3 Interesting Facts about Trigger Finger: How stretching & resting can help Recovery - RIO Orthopedic. RIO Orthopedic. https://rioortho.com/hand-injuries/3-interesting-facts-about-trigger-finger-how-stretching-resting-can-help-recovery/#:~:text=A%20dominant%20hand,heavy%20machinery%20are%20at%20risk.

Jeanmonod, R., Harberger, S., Tiwari, V., & Waseem, M. (2024, February 5). Trigger finger. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK459310/

Trigger Finger: What is? Symptoms, Causes, & Treatment | The Hand Society. (n.d.). https://www.assh.org/handcare/condition/trigger-finger