ABSTRACT
Hand and wrist conditions such as arthritis of the first carpometacarpal joint, De Quervain's tenosynovitis, trigger finger and carpal tunnel syndrome are commonly seen in primary care, physiotherapy assessments, rheumatology and orthopaedic clinics. This chapter aims to provide contemporary, evidence-based approach to soft tissue and joint injections, and demonstrates simple yet effective techniques in management of common wrist and hand conditions. Trigger finger is a common finger ailment thought to be caused by inflammation and subsequent narrowing of the A1 pulley, which causes pain, clicking, catching and loss of motion of the affected finger. The initial complaint associated with trigger finger is usually a painless clicking with digital manipulation. With continued deterioration the finger may present locked in flexion, requiring passive manipulation to achieve full extension. Surgery of trigger finger entails releasing the A1 pulley under local anaesthetic by a trained healthcare professional.
