TRIGGER FINGER

MARISA ALFIANTY
FK TRISAKTI 03011178

ANATOMI TANGAN
Karpal

Metakarpal

1. os scaphoideum

Terdiri dari 5 ossa

2. os lunatum

Phalanx
Masing-masing jari tangan memiliki

3. os triquetrum
4. os pisiforme
5. os triquetrum
6. os travesium
7. os kapitatum
8. os hamatum
9. hamulus ossis hamati

tiga phalanx,
kecuali digiti 1 dua phalanx

TRIGGER
FINGER
Penyebab Trigger Finger
DEFINISI
CAUSA

FAKTOR RISIKO
GRADING
SYSTEM

1.
2.
3.

Tendon RISIKO
FAKTOR
Definisi penebalan Nodule
Tendon Sheath
Green
Classification

inflmasi
Trigger finger
merupakan
suatu keadaan
Pergerakan
berulang
gripping)
/ Trauma
Grade
I
Palm
pain
and(repeated
tenderness
at posisi
A-1 pulley
dimana
jari
tangan
terkunci
dalam

Struktur Anatomi
berulang
Gradetertekuk
II
Catching of digit
t
Misalnya : pada pemainyang
alat sering
musik
Grade III
Locking of digit, terlibat
passively
correctable
:
Penyakit
(Certain
health problems)
Dikenalpeserta
juga sebagai
Stenosing
Tenosynovitis
arthritis,
Grade
IV
Fixed,
locked digit
- A1
Pulley
Misalnya
: rheumatoid
diabetes,
M. Digitorum Profudus
hypothyroidism, amyloidosis- dan
- M. Digitorum
infeksi(tuberculosis).
Superficialis
Jenis Kelamin
Lebih sering pada wanita

http://www.orthobullets.com/hand/6027/trigger-finger
https://advancedortho.me/wp-content/uploads/2013/04/Trigger-Finger-Release.pdf
Mark Ryzewicz, MD, Jennifer Moriatis Wolf, MD. Trigger Digits: Principles, Management, and Complications. The Journal of Hand Surgery ; 2006

DIAGNOSIS
ANAMNESIS
Nyeri di telapak tangan
Pembengkakan / Benjolan kecil
Kekakuan Sendi
Clicking Finger
Locked Finger
PEMERIKSAAN FISIK
Tenderness pada A1 pulley
Palpable bump pada daerah A1
pulley
Locked finger
1.
2.

http://www.orthobullets.com/hand/6027/trigger-finger
Mark Ryzewicz, MD, Jennifer Moriatis Wolf, MD. Trigger Digits: Principles,
Management, and Complications. The Journal of Hand Surgery ; 2006

PENATALAKSANAAN
Nonoperative
Night splinting, activity modification, NSAIDS
Indication
first line of treatment
Steroid injections
Indication
Merupakan pengobatan inisial terbaik untuk
jari
Teknik
Berikan 1 sampai 3 injeksi pada flexor
tendon sheath
Operative
surgical debridement and release of the A-1
pulley
indication
Kegagalan therapy nonoperative
release of A1 pulley and 1 slip of FDS
(usually ulnar slip)
indication
pediatric trigger finger

DIAGNOSIS BANDING

Jersey Finger

Mallet Finger

Sagittal Band Rupture

Boxer Knuckle

KOMPLIKASI :

RADIAL DIGITAL NERVE INJURY

Depuytren Disease

1. http://www.orthobullets.com/hand/6027/trigger-finger

CORTICOSTEROID INJECTION

TERIMAKASIH