Journals / Türk Osteoporoz Dergisi / 2017 / Cilt: 23 - Sayı: 1

Trigger Finger Mimicking Sesamoid Bone: A Cause of Diagnostic Delay

Tetik Parmağı Taklit Eden Sesamoid Kemik: Bir Tanısal Gecikme Nedeni

Pages
53–53
DOI
—

Abstract

showed clearly; a sesamoid bone located at adjacent of the first MCP joint. Fifteen minutes of transcutaneous electrical nerve stimulation and 10 minutes of therapeutic exercise, including extensor-flexor tendon stretching and self-massage were given her. After the physical therapy programme, a decrease in symptoms were observed. Sesamoid bones are usually small ovoid shaped bones and can vary in shape and size (1). Sesamoid bones, emerge on the palmar and plantar articular surfaces where tendons run in close proximity to bones and joints (2). Trigger finger, also called the stenosing flexor tenosynovitis, is a common hand pathology and without treatment, there may be a gradual worsening of symptoms to severe pain and locking of the digit in flexion (3). Due to anatomic localisation of sesamoid bones, they may mimic trigger fingers. This situation should be kept in mind due to treatments of the above diseases are different and the blinded injections of steroids to the sesamoid bones are not effective for decreasing symptoms and could damage the bones and soft tissues. A clear diagnosis is needed when a patient admitted with finger pain and clicking

Özet

showed clearly; a sesamoid bone located at adjacent of the first MCP joint. Fifteen minutes of transcutaneous electrical nerve stimulation and 10 minutes of therapeutic exercise, including extensor-flexor tendon stretching and self-massage were given her. After the physical therapy programme, a decrease in symptoms were observed. Sesamoid bones are usually small ovoid shaped bones and can vary in shape and size (1). Sesamoid bones, emerge on the palmar and plantar articular surfaces where tendons run in close proximity to bones and joints (2). Trigger finger, also called the stenosing flexor tenosynovitis, is a common hand pathology and without treatment, there may be a gradual worsening of symptoms to severe pain and locking of the digit in flexion (3). Due to anatomic localisation of sesamoid bones, they may mimic trigger fingers. This situation should be kept in mind due to treatments of the above diseases are different and the blinded injections of steroids to the sesamoid bones are not effective for decreasing symptoms and could damage the bones and soft tissues. A clear diagnosis is needed when a patient admitted with finger pain and clicking