A member asked:

There are no fractures seen on my right hand little finger. no periosteal new bone formation, no joint subluxation. there is flexion deformity of the dip joint of the little finger. no soft tissue abnormality is demonstrated. what do i do?

2 doctors weighed in across 2 answers

Trigger finger: best treated by orthopedic exam and possible injection of the flexor tendons of the DIP joiint or surgical release of the entrapped tendon.

Answered 7/9/2018

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Hand specialty eval: The fingers are assembled like a tall crane, with tendons that mimic the cables on the crane. Each finger joint has separate tendons that extend or flex the bone that travel the length of the finger. These do not show up on x-ray.To have the deformity you cite, one of the tendons slipped off its anchor point. Correction will require work with a hand specialist who can reposition the tendon.

Answered 7/9/2018

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Thank

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