Non-traumatic Thumb pain

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Descripción del caso

  • Case Name: Non-traumatic Thumb pain
  • Author’s Name: Dr Maulik S. Patel
  • Author’s workplace: Private Clinic, Surat ( City ), India.
  • Clinical Signs: Female – 25 yrs. Thumb base pain, snapping – few wks,
  • Ultrasound: There is thickening of A1 Pulley of thumb at metacarpo-phalangeal joint. There is no tendon tear. Contralateral asymptomatic thumb shows normal A1 pulley.
  • Diagnosis: Trigger thumb.


There is avulsed central slip from base of middle phalanx.

Tiny bone flakes ( 1 mm ) are present at tip of avulsed tendon slip.

Retraction of tendon edge from phalanx base is 4 mm.

Central slip is intact at distal phalanx attachment site.

Radiograph (cropped magnified Image)

Tiny bone flake in soft tissue swelling on dorsal aspect of proximal interphalangeal joint of 5th finger.

Dr Maulik S. Patel

República de La India
República de La India

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