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Medical Forum / General / General / October 2004

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Who is best for fixing a "trigger finger"?

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James E. - 25 Oct 2004 06:14 GMT
I need surgery for a bad case of trigger finger (Middle finger locks in
closed position).

My HMO wants to send me to an all-purpose orthopedist. Does a general
orthopedist normally do this kind of surgery or should I insist on having
this surgery done by an orthopedist who specializes in hand problems?

Thanks for any input

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James
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Ed Mathes - 25 Oct 2004 11:46 GMT
If it were my trigger finger, I would insist on a (1) hand surgeon or (2) a
plastic surgeon or orthopedist with hand training.

Ed

> I need surgery for a bad case of trigger finger (Middle finger locks in
> closed position).
[quoted text clipped - 4 lines]
>
> Thanks for any input
Howard McCollister - 25 Oct 2004 13:13 GMT
>I need surgery for a bad case of trigger finger (Middle finger locks in
>closed position).
>
> My HMO wants to send me to an all-purpose orthopedist. Does a general
> orthopedist normally do this kind of surgery or should I insist on having
> this surgery done by an orthopedist who specializes in hand problems?

Surgery of the hand is a subspecialty area available to orthopedists and
general surgeons. Usually, general surgeons don't do a lot of hand surgery
anymore these days and the typical hand surgeon is either an orthopedist
with specialty training, or a plastic surgeon. Note that not all plastic
surgeons do hand surgery, even though it's a big part of their subspecialty
training (many focus on cosmetic surgery only). Trigger finger is a common,
well-defined problem and you are likely to be in good hands with any
orthopedist or plastic surgeon that state that they specialize in surgery of
the hand. Many general orthopedists are also quite competent to release a
trigger finger as well - such surgery is almost always part of their
residency training.

You would likely be fine by looking through the yellow pages for a surgeon
that declares him/herself as doing surgery of the hand, or you may get that
same info by calling your local medical society and getting a list from
them.

HMc
James E. - 26 Oct 2004 00:30 GMT
Thank you for the detailed response, Howard.

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James
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>
>>I need surgery for a bad case of trigger finger (Middle finger locks in
[quoted text clipped - 22 lines]
>
> HMc
 
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