A trigger finger/thumb happens because the sheath (tunnel of tissue that the tendon moves through) isn't wide enough or gets swollen. Symptoms of trigger finger may progress from mild to severe and include: Finger stiffness, particularly in the morning. Acquired adult trigger thumb occurs in adulthood. 00. The decision of when to go to surgery is not easy. Additional specialists may include: Allergist / Immunologist . Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. Trigger thumb, right thumb. Usually, tendons move smoothly in the hand when straightening or bending the fingers, however, with this condition, instead of smooth gliding of the tendons, there is ‘clicking. Clinical presentation. Trigger Finger Symptoms. . A trigger finger (also known as stenosing flexor tenosynovitis) is a finger that becomes 'locked' after it has been bent (flexed) or locked in a bent position. It depends on the family perspective, the time that the trigger finger has been present, and the surgeon’s beliefs. 03 “trigger finger” (acquired); ICD-10 code: M65. Trigger finger and Dupuytren’s contracture are both problems that affect the fingers and so one issue is often confused for the other. Each of these tendons is surrounded by a sheath which is lined with synovium. Trigger finger occurs when the flexor tendon becomes irritated. . Usually, the tendon slides easily in and out of the sheath as you bend and straighten. Trigger thumb in children is distinctly different from trigger. A thumb-trigger release itself will not automatically cure target panic, but it will help you defeat it. Alternatively, one can modify positions of the hand when gripping the handlebars. There are two types of trigger finger surgery – open release and percutaneous release. Trigger finger/thumb occurs when the pulley at the base of the finger becomes too thick and constricting around the tendon, making it hard for the tendon to move freely through the pulley. With percutaneous surgery, the doctors use a. Then spread them apart from one another so they form a “V. rest your thumb when you can. Treatment for mild symptoms includes resting and splinting the. In children, trigger thumb usually happens between the ages of 1 and 3 years old. Still effective and reliable. Both of these methods keep the affected finger extended and allow the irritated tendon to rest and heal. Trigger finger, or stenosing tenosynovitis, is a condition that causes the fingers and thumb to get stuck in a bent position. Paediatric Trigger Thumb. The tendon that bends or flexes the thumb is called the flexor pollicis longus (FPL). The name "trigger finger" may refer to the motion of "catching" like a trigger on a gun. The application of ice is an effective treatment for essentially all minor musculoskeletal injuries, including trigger finger. 311 became effective on October 1, 2023. The 2024 edition of ICD-10-CM M65. Finger "V" Stretch: The final exercise has you hold the injured finger and the one next to it extended out. Treatment is nonoperative management with splinting for flexible deformities. Trigger finger occurs when the pulley becomes too thick, so theTrigger finger/thumb is a result of overuse syndrome. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. It is marked by one finger or thumb that is stuck in a bent position and pops or snaps when straightened. M65. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. As a result, moving the finger or thumb may pull the inflamed portion through a contracted tendon sheath, making it snap or pop. These tendons pass through a tunnel-like soft structure called the flexor tendon sheath, which acts like a. Congenital Trigger Thumb is a congenital pediatric condition of the thumb that results in abnormal flexion at the interphalangeal joint. While potential causes like rheumatoid arthritis, gout, diabetes and trauma may increase risk factors - the true cause remains. The base of the finger or thumb may feel sore, and gripping or grasping hand motions can cause pain. Patients with trigger finger or trigger thumb find it difficult to straighten or bend the affected digit. Tendons are strong bands of connective tissue that attach muscles to bones. Typically, people 45 and older and those with diabetes or rheumatoid arthritis may be predisposed to trigger finger. Essentially, your fingers are made up of tendons that enable them to move and bend. . Trigger finger is a long recognized condition characterized by a sometimes painful locking of the digit on flexion and extension. It occurs 2-6 times more frequently in women (1). It is a problem with the flexor tendons. Doc says it’s a simple surgery to release the tendon and. 00 $ 28. In the finger, the pulleys form a tunnel under which the tendons must glide. The physician uses ultrasound imaging to carefully guide the needle to the affected tendon sheath and avoid damage to the tendon or nearby nerves. The bent position is the most common form of trigger finger, and it can affect multiple fingers. [2] There may be tenderness in the palm of the hand near the last skin crease (distal palmar crease). See your doctor. Sometimes, mild cases of trigger finger get better without treatment, so your GP may recommend avoiding activities that cause the pain to see if this helps relieve your symptoms. Medical Conditions. It can affect any of your fingers and your thumb or. Trigger finger and Dupuytren’s contracture are two conditions that affect the fingers. Pain is typically present on the palm side the thumb. Place the splint on the palm side of the finger with the foam against the skin. Locking of the thumb is similarly named trigger thumb. Trigger finger causes pain, stiffness, and locking when you bend and straighten your finger or thumb. Trigger finger, also called stenosing tenosynovitis, occurs when a finger tendon (that controls the movement of that finger) can't glide smoothly in the tendon sheath around it. However, in more severe cases where there’s a lot of pain when the finger is locked, surgery may be the most effective option. Trigger thumb surgery: There are two main forms of trigger thumb surgery that are used by doctors. With a trigger finger, the muscles cramp up to stiffen the finger. The fingers most often affected are the ring finger and the thumb, but the condition can affect any finger. But both these effects only last for a temporary period. The tendon can't glide smoothly and gets stuck. The reported prevalence is roughly 2 percent in the general population, and is most common among women in the fifth or sixth decade of life [ 1 ]. The tendons in your fingers connecting your muscles to your bones pass through a series of tunnels along the finger known as tendon sheaths or pulleys. M65. A trigger finger is a finger stuck in a bent position. 1) Patients frequently present with a painful triggering or clicking during active motion of an affected digit. Symptoms. Overall, a trigger finger is a common condition causing pain and clicking at the base of a finger or thumb. It’s not harmful, but it can be painful and a nuisance. Repeat the exercise on the middle, ring, and little finger. Other signs and symptoms might include: Swelling, stiffness and tenderness at the base of your thumb. Sometimes knots develop in these tendons, or the sheath responsible for covering the tendons is swells and narrows that restricts the movement of tendon hence restricting the movement of the finger. Trigger finger is a condition in which a person’s finger locks or catches if they try to straighten or bend it. Some patients will have a history of repetitive trauma to the affected area, while others may have occupational duties requiring repetitive use of the involved tendons. It may straighten suddenly with a snap. We use cookies to personalize content and ads, to provide social media features, and. Though it can present in any sex and at any age, it is more commonly found in females. As a result, you may notice a decreased range of motion and reduced ability to grip or control. 311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The sheath and/or pulley becomes thick and the tendon may develop a nodule inside it. Congenital trigger thumb is a trigger thumb in infants and young children. It results in pain and a clicking or triggering sensation of the finger after the finger is flexed. Causes of a Numb Thumb or Hand. This particular thumb splint for trigger thumb has a cushioning ring that reduces. SCORE. Trigger Thumb Trigger Thumb is perhaps one of the most painful conditions when it comes to medical condition involving the fingers. Finger catching or locking in a bent position, which suddenly pops straight. Download Article. Trigger thumb usually can be released, at least temporarily, by forcing the digit to open. Nonsurgical treatment options for trigger finger include the following: A splint that immobilizes the affected finger for a few weeks is often sufficient to resolve trigger finger, particularly in milder cases. Take Advantage Of A Splint. The thumb: Gets stuck or locked in a bent position. We recommend early surgical intervention, rather. However, as always, consult with your doctor. The total complication rate was 5. Fortunately, there are several nonsurgical and surgical. Trigger Finger. Members of the medical team for Trigger thumb may include: Primary care provider (PCP) Show More . These tendons normally. The cause of the bump isn't known. take off any jewellery if your thumb looks swollen. It is not truly congenital (present at birth), but is most common in children younger than 5 years old. The provision of omega-3 fatty acids for the body is very beneficial in the trigger finger treatment. It may progress to causing your affected finger to "lock" into a bent position when. Finger catching or locking in a bent position, which suddenly pops straight. 1. There are two types of trigger thumb. When the thumb is affected, it's referred to as 'trigger thumb. Splints. Dr. Paediatric trigger thumb occurs in the first weeks or months of life. Other types of treatments for trigger finger are splints and taping the joint. View Video. Over time, this may also cause a small bump to form at the base of the finger/thumb where it meets the palm of the hand. The condition is known to occur after forceful use of the fingers and thumb. 3. Treatment is urgent irrigation and debridement of the flexor tendon sheath with IV antibiotics. , if that. It can involve any digit but typically affects the thumb and ring finger of the dominant hand. Trigger finger is a long recognized condition characterized by a sometimes painful locking of the digit on flexion and extension. A series of ligaments in a tunnel-like arrangement hold the tendons in place on the bones. Oval-8 Finger Splint for Trigger Finger. Open release of the A1 pulley is a procedure usually performed for recurrent of persistent triggering refractory to non-operative treatment. Tenderness or a bump in the palm at the base of the affected finger. Pain usually occurs when the finger or thumb is bent and straightened. A trigger finger splint is a type of alternative treatment used for people who do not prefer invasive techniques or ultrasound therapy to treat the condition. Trigger thumb. There is a tunnel at the base of the palm side of the thumb that the flexor tendon passes through. Trigger thumb release surgery is currently being researched more deeply as some surgeons are pursuing a more minimally invasive approach. Less common but potentially serious causes of a numb thumb include a stroke, a heart attack, or. Finger stretches. In either case, smooth passage of the tendons through their sheaths is compromised, causing. Thumb sprains, a jammed thumb, and “skier’s thumb” are all caused by damage to the ligaments in your thumb. At Nebraska Hand & Shoulder, we provide solutions for individuals experiencing trigger finger. Other symptoms may include pain and stiffness in the fingers and thumb. Supplementary Materials. reinforced the idea that pediatric trigger thumb is a devel-opmental condition. If a tendon or the tunnel a tendon runs through (called the tendon sheath) becomes swollen and inflamed, the tendon gets irritated and can "catch" in the tendon sheath. Swelling around the flexor tendon and tendon sheath must be reduced to allow smooth gliding of the tendon. Open Fingertip Infrared Gloves. Pediatric trigger thumb (PTT) is a condition that affects how the thumb bends (flexes) and straightens (extends). Welland Reversible Thumb & Wrist Stabilizer splint for BlackBerry Thumb, Trigger Finger, Pain Relief, Arthritis, Tendonitis, Sprained and Carpal Tunnel Supporting, Lightweight and Breathable S/M $9. The tendons performing the act are the finger tendons on the palm side of the hand. A summary transcript with explanatory notes is below: Trigger finger is a condition that often causes locking of any finger of the hand. It may be more common when you use a smaller phone or a. Trigger finger is a condition in which your finger or thumb ‘catches’ or gets locked in place when you bend it. RANKING LIST | SORT BY SCORES. Pain can occur at the base of your thumb when you grip, grasp or pinch an object, or use your thumb to apply force. 9 This is in contrast to the pathophysiol-ogy of trigger finger in adults. It affects the tendons in your fingers and. Trigger finger is one of the most common causes of hand pain in adults. Trigger thumb may be more likely to go away in a younger child with trigger thumb for less time. Sometimes the tendon develops a nodule (knot) or swelling of its lining. Performing targeted exercises and stretches can help to alleviate. It can affect any finger or more than one finger at a time. Trigger thumb or trigger finger is more likely to affect those over 40, with individuals between 40 and 60 at higher risk. Trigger finger or trigger thumb is a common disorder in which a finger becomes locked in a flexed position and it catches or snaps when put into extension. Trigger thumb is a simple term for stenosing flexor tenosynovitis of the thumb. Symptoms of trigger finger may include: Soreness at the base of the. Fish Oil. On the palmar side of each finger, there is a tendon that helps each finger bend toward the palm. You feel tenderness when you press on the base of your thumb. Trigger finger treatment can range from rest to surgery, depending on the severity of your condition. When that happens, your finger or thumb can get stuck in a bent or straight position in a condition called trigger finger. I’ve had trigger fingers and it’s not fun I understand that. Trigger finger is a condition that involves one of the fingers or thumb becoming stuck in a bent position and then rapidly straightened like the trigger of a gun. View Video. Tenderness usually occurs over the area of the nodule, at the bottom of the finger or thumb. What is trigger finger? Trigger finger is a condition that causes the finger to ‘catch’ or ‘click’ or ‘trigger’ when it is bent and straightened. Trigger Finger or Trigger Thumb Mistake #4- Not trying conservative treatment first. Other symptoms may include pain and stiffness in the fingers and thumb. Trigger finger treatment varies depending on its severity and duration. Splinting or bracing to cure trigger thumb has. This lining is called tenosynovium. It is not a substitute for your doctor’s advice. 00 (50% off) Add to Favorites. TRIGGER FINGER or TRIGGER THUMB is a condition where in joints of one or more of the digits (finger/thumb) gets stucked up/locked up at certain postion which is difficult to move and moving it with force may cause popping or clicking sound with pain. Mild to Severe Pain in the affected finger or thumb (usually only a single finger is affected). Trigger Finger is when the tendon of a finger joint has thickened and can't move back and forth through its surrounding sheath easily enough to facilitate smooth. Trigger finger and trigger thumb are two conditions that go hand-in-hand (literally). Prevention. 99/Count)Trigger thumb is treatable. In skier’s thumb, this ligament gets stretched or torn. It is also called Stenosing Tenosynovitis but obviously, it is much easier to call it trigger finger. obesity. 311 - other international versions of ICD-10 M65. From Arthritis and Trigger Finger to Hypermobility and Mallet Fingers and more, the Oval-8 provides exceptional comfort and lightweight. It can “freeze” them in a flexed position. 22% (19 cases), followed by the ring finger 24. This kind of topical stimulation enhances blood circulation in the targeted area, but best not to use it when the finger is swollen. Patients who presented with a stage IV trigger thumb and had an initial alternative treatment were more likely to go on to have surgery. Clinical presentation. ) The patient may present with a digit locked in a particular position, most. Making this one of the more common trigger finger or trigger thumb mistakes preventing. Pain at the base of the affected finger, on the palm side. These injuries, commonly caused during contact sports or falls. Pediatric trigger thumb is thought to affect as many as three out of every 1,000 children. It can occur in one or more fingers in each hand and can be bilateral. Additionally, the affected digit can become locked, and passive extension of this digit can cause significant pain [ 5 ]. 1. The aim of the study was to assess the concomitant occurrence of carpal tunnel syndrome and trigger finger in the same hand among patients presented with idiopathic carpal tunnel syndrome or idiopathic trigger. People suffering from diabetes, gout, and rheumatoid arthritis are also likely to develop trigger thumb. Trigger finger or trigger thumb, medically known as stenosing tenosynovitis, involves the pulleys and tendons in the hand that bend the fingers (see Diagram). Trigger finger (or trigger thumb), also known as sclerosing tenosynovitis, is a common clinical diagnosis that rarely presents for. Trigger finger is also known as stenosing tenosynovitis or stenosing tenovaginosis. Complications after pediatric trigger thumb release are rare and seldom reported. Finger stretches. A splint can be fitted by a hand therapist, but even a lollipop stick held on with tape can be used. Trigger Finger or Stenosing Tenosynovitis is a condition that causes pain, stiffness, and a sensation of locking when bending or straightening the finger. When the thumb is involved, the condition is called Trigger Thumb. Treatment is nonoperative management with splinting for flexible deformities. Usually, flexion is normal but beyond a certain range of. The injection goes into the finger around the tendon sheath, the tissue that wraps the tendon. A catching or locking of the digits is called trigger finger. $21. Trigger finger and Dupuytren’s contracture are both problems that affect the fingers and so one issue is often confused for the other. Including our collection trigger thumb splints, exercise recommendations, and at home remedies! 8. Geneticist . Using ultrasound guidance during the procedure can improve results. Trigger finger is a common finger aliment, 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. Now $ 1599. Here are five signs that you may have trigger finger: Pain/discomfort at the base of the finger or thumb. In 1 study, clinical extensor triggering was reported in only 1. 319 became effective on October 1, 2023. Surgeons perform tenolysis when a tendon is stuck in place after a trauma or another surgery. $12. Trigger finger surgery may be more complicated as it can require a more extensive operation compared to trigger thumb. Trigger finger is a condition where the involved finge. Trigger finger is a painful condition that makes your fingers or thumb catch or lock when you bend them. Shortly after the phenomenon of trigger finger was first described in the literature by Notta, 8 a surgical procedure to release the fibrous tendon sheath was pronounced as a definitive solution for the problem. This leaves the PIP (proximal interphalangeal) and distal interphalangeal joints free. Michelle, Hand Expert and founder of Virtual Hand Care, shares her Top 3 Trigger Thumb Exercises to stop triggering, catching, or locking of your thumb. Trigger finger, also known as stenosing tenosynovitis, is a condition that makes it hard to straighten your finger. Medications. Trigger finger arises through a discrepancy in the diameter of the flexor tendon and its sheath at the level of the metacarpal head. The ring finger and thumb are most often affected by Trigger Finger. The tendons that bend your fingers usually glide freely through tight tunnels made by flexor tendon pulleys attached to bones in your hand. Apply ice to your finger. Dermatologist . Trigger finger (stenosing tenosynovitis) is a condition in which a finger tries to snap closed while gripping. Although it can occur in anyone, it is seen more frequently in the diabetic population and in women, typically in the fifth to sixth. The tendons work like long ropes connecting the muscles of the forearm with the bones of the fingers and thumb. Symptoms of trigger thumb include: A “popping” pain when you bend or straighten the end of your thumb. Patients may also experience a clicking sensation when bending their thumb. The first symptom is usually soreness at the base of the finger. It can affect any finger or more than one finger at a time. A child with a trigger finger should be referred to a plastic or Orthopaedic Surgeon with a special interest in paediatric hand surgery. Trigger thumb is a condition that causes a feeling of locking when you bend and straighten your finger. Trigger finger treatment is necessary to fix the condition. A tendon is a strong tissue that attaches a muscle to a bone. The condition is also known as stenosing tenosynovitis. It has magnificent action on tendon and its sheath. Omega-3 fatty acids are essential and beneficial for the human body, particularly for those with trigger finger. Slapping, punching, jamming, or swiping at a trigger — with your index finger or with your thumb — is. The exact same changes were made to the Model 1904, and I assume to the Thumb Trigger model. Massage. With open surgery the doctors make a small incision to open up the tendons sheath. Trigger thumb is a condition that can result in your thumb being bent inwards, toward your palm, or straightened with a snapping movement. With trigger finger or trigger thumb, the flexor tendons become swollen along with the sheath and synovium, soft. It’s common in new parents because of changing hormones and the repetitive stress motions that come with holding and. Trigger thumb is common among people between 40-60, people who have to engage in repetitive tasks involving the hand, particularly requiring intense gripping or grasping movements involving the thumb, such as musicians and factory workers. It is caused by the inflammation and subsequent narrowing of the A1 pulley through which the flexor tendon passes at the metacarpal head, leading to restricted movement of the tendon through the pulley. Trigger thumb usually can be released, at least temporarily, by forcing the digit to open. Trigger thumb is: The most common conditon that leads to this. Calfee and is rated as a Distinguished doctor by MediFind in the treatment of Trigger Thumb. A needle is inserted into the area around the tendon and is moved around to help loosen the tendon and improve function. You will be put under general anesthesia, or will receive a bier block (intravenous regional anesthesia); and your surgeon will open the muscle at the base of your affected finger to give the tendon a smoother. When it affects the thumb, it is called Trigger Thumb. 'The pain produced by a trigger thumb can be minimized with gloves sufficiently padded to protect the swollen area. It's rare in children. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. Hold for 10 seconds before bringing your hands back up to the starting position. Trigger Finger, Trigger Thumb. Stay hydrated. Primary symptoms are: 1. See moreWhat is Trigger Thumb (Stenosing Tenosynovitis)? This painful condition causes your fingers to get stuck in a bent position, snapping to straighten. Bhairavjewelry. Trigger thumb, stuck in a flexed position (flexion). Infectious disease doctor . Trigger thumb is a painful condition that cause the thumb to catch or “lock” most often in a bent position. The condition is, however, not solely managed by hand surgeons as it is often treated in the community and by. Trigger finger is diagnostically known as stenosing tenosynovitis and is a common hand ailment. Your flexor tendon is a tendon in your fingers that is activated by your muscles to pull on the finger. - Discussion: - stenosing tenosynovitis of the flexor pollicis longus in childhood is relatively uncommon condition which causes triggering, IP joint flexion contracture, and a flexor tendon nodule over the metacarpal head level (Notta's nodule); - although present at birth, dx often not made until 4-6 months of age. Trigger finger, also known as stenosing tenosynovitis, occurs when any finger, including the thumb, becomes stuck in a bent position as if holding onto a trigger. Another common condition is the mallet finger or jamming finger. The swelling and inflammation of the tunnel that the tendon runs through (tendon sheath) makes it difficult for the affected tendon to slide easily, causing the pain. The problem is generally idiopathic. These acids, when entering the body, can help cope with tissues damaged by trigger finger. It can involve any digit but typically affects the thumb and ring finger of the dominant hand. Trigger finger, also known as stenosing tenosynovitis, is a common clinical disorder characterized by painful snapping, locking, or contracture of an involved digit. This clicking may be worse in the morning. When the tendon gets thick, it cannot pass through the tunnel or does so with a “click” or. The finger cannot be extended and is locked in flexion. 5 ml of betamethasone sodium phosphate and acetate suspension (Celestone) and 0. A trigger finger (also known as stenosing flexor tenosynovitis) is a finger that becomes 'locked' after it has been bent (flexed) or locked in a bent position. Returning to work will depend on your type of job: light or desk-based jobs may be possibly at 2-3 weeks, but resumption of heavy manual labour may. Flexor tendons are tough, string-like structures that attach bones in finger joints at one end and forearm muscles at the other. The most common treatment for a locked trigger thumb is a tendon release surgery performed by a hand surgeon. Can’t fully straighten. Cutting the sheath widens the space. The nodule gets stuck at the pulley, so the tendon cannot glide inside the sheath. Trigger finger is a very common disorder that occurs in both adults and children. The injection goes into the finger around the tendon sheath, the tissue that wraps the tendon. The prevalence of trigger finger is also higher among. Hold for 10 seconds. The 2015 study mentioned earlier found 54 to 86 percent. Your finger will be stiffer and more painful in the mornings. Citation, DOI, disclosures and article data. As a result, a consideration of these areas and surrounding tissues is reasonable and should be. In severe cases or rheumatoid arthritis, I may also need to cut out a slip of tendon. In the hand, muscles and tendons work together to straighten and flex the fingers and thumb. Thumb Splint for Trigger FingerWearing splints for trigger thumb gives the inflammation that is disrupting finger or thumb movement a chance to subside and the tendon sheath a chance to widen, ultimately easing the unpleasant symptoms of trigger finger. All 56 trigger thumbs demonstrated focal enlargement of the FPL without evidence of inflam-mation or trauma. Knowledge of anatomic variability and the relationships between the surface landmarks, the volar neurovascular structures, and the A1 pulley may help to circumvent iatrogenic injuries with injection or surgery. Over time, this may also cause a small bump to form at the base of the finger/thumb where it meets the palm of the hand. This is similar to how a line is held on a fishing rod (Figure 1). Trigger finger is a repetitive stress injury that occurs with constant repetitive actions at work or play. Symptoms include a sensation of "catching" when trying to bend or straighten the finger. Frederick’s Trigger Finger Splint. It presents mainly with pain and limited movement of the affected digit []. In the case of trigger finger and trigger thumb, you may experience a creaking sensation and discomfort when moving your fingers. [3] The name "trigger finger" may refer to the motion of. Trigger Finger Therapy Through Acupuncture: Acupuncture has been used as a pain relief method for trigger finger. 25/09/2020. The A1 pulley is most often affected, but there are some reported cases. Trigger Finger. Trigger finger is a condition when a finger or thumb briefly locks when you try to extend it. Trigger finger and thumb is a condition affecting the movement of the tendons as they bend (flex) the fingers or thumb toward the palm. This clicking may be worse in the morning. Trigger Finger and Trigger Thumb causes the tendons to catch or get stuck when the fingers or thumb bend. The medicine works by reducing the swelling in the finger, which can help it move better. Ryan Calfee is a Hand Surgeon and an Orthopedics doctor in Saint Louis, Missouri.