Certified Hand Therapist (CHT) Practice Exam

What is classified as Grade 1 in trigger finger?

1. Pain but no active catching

2. Contracture present

3. Active catching with limited range of motion

4. Catching that requires passive extension

The correct answer is: Pain but no active catching

In the context of trigger finger classification, Grade 1 specifically refers to the condition where there is pain associated with the finger, but there is no active catching present. This indicates an early stage of the condition, where inflammation may be present, leading to discomfort, yet the finger is still capable of moving without the physical blockage or catching sensation that characterizes more advanced grades of trigger finger. The distinction of Grade 1 is important for assessing the severity of the condition and determining suitable intervention strategies. Recognizing that there is pain but the functionality of the finger is largely intact allows therapists to focus on conservative treatment methods aimed at reducing inflammation and managing pain. Higher grades involve more significant symptoms, such as the presence of a contracture or episodes of catching that restrict movement, indicating a progression of the condition that requires different therapeutic approaches. Understanding these classifications is crucial for developing effective treatment plans tailored to the stage of the trigger finger.