Current Concepts in the Management of Advanced Trigger Finger

Pompeu, Y.A.; Almeida, Bryan Aristega; Kunze, Kyle N.; Altman, Emily; Fufa, Duretti T.

doi:10.2106/jbjs.rvw.21.00006

Cited by 9 publications

(8 citation statements)

References 52 publications

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“…Previous studies have consistently reported excellent outcomes after OTFR, 22 also for individuals with DM. 11–21 However, these studies have not stratified for the type of DM, that is, T1D or T2D, and because both pathophysiology and complications 13 are different in the two types of DM, it is an important distinction.…”

Section: Discussionmentioning

confidence: 77%

Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures

Rydberg

Zimmerman

Gottsäter

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Trigger finger is overrepresented among patients with diabetes mellitus (DM). Whether DM affects the outcome after open trigger finger release (OTFR) in patients with DM is not known. Our aim was thus to explore outcomes after OTFR in patients with type 1 (T1D) and type 2 DM (T2D). Methods: Data included patient-reported outcome measures (PROMs) from all OTFRs performed between 2010 and 2020 registered in the Swedish national registry for hand surgery in individuals over 18 years cross-linked with the Swedish National Diabetes Register (NDR). PROMs included QuickDASH and HQ8, a questionnaire designed for national registry for hand surgery, preoperative and at 3 and 12 months postoperative. HQ8 included pain on load, pain on motion without load, and stiffness. Outcome was calculated using linear-mixed models and presented as means adjusted for age and stratified by sex. Results: In total, 6242 OTFRs were included, whereof 496 had T1D (332, 67% women) and 869 had T2D (451, 52% women). Women with T1D reported more symptoms of stiffness (P < 0.001), and women with T2D reported more pain on load (P < 0.05), motion without load (P < 0.01), and worse overall result at 3 months. At 12 months, however, no differences were found in any of the HQ-8 PROMs among men or women. Women with T2D had slightly higher QuickDASH scores at 3 and 12 months. Conclusion: Patients with T1D and T2D can expect the same results after OTFR as individuals without DM, although the improvement might take longer especially among women with T2D.

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Section: Discussionmentioning

confidence: 77%

Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures

Rydberg

Zimmerman

Gottsäter

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…Operative management is reserved for cases that do not respond. 1 In this case report, we describe an anomalous attachment of the lumbrical muscle to the A1 pulley, which we determined was the cause of our patient's triggering.…”

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confidence: 77%

“…We believe that sharing our case may help raise awareness to possible anomalies such as that described in this case report. n Ayman Khoury, MD, MHA 1 Gil Gannot, MD 1 Amir Oron, MD 1…”

Section: Discussionmentioning

confidence: 99%

“…T rigger finger is a painful condition; it occurs when the pulleys that help bend the fingers become too thick, leading to a popping or catching feeling. Trigger finger (TF) is one of the most common causes of hand disability, which affect 1% to 2% of all population, and it is more common among patients with diabetes up to 20% 1 . Most patients with trigger finger respond to nonoperative management such as stretching, massage, immobilization, and corticosteroid injection.…”

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confidence: 99%

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Trigger Finger Due to Anomaly of Lumbrical Insertion

Khoury

Gannot

Oron

2023

JBJS Case Connector

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Case:Trigger finger (TF), or stenosing synovitis, is a common condition that can usually be diagnosed by physical examination. We recently operated on a patient with TF who did not respond to conservative treatment. At surgery, we found an anomalous insertion of the fourth lumbrical muscle to the A1 pulley. This insertion was observed to cause mechanical narrowing of the pulley due to a pulling effect by the muscle, which was relieved by resection.Conclusion:Although rare, the operating surgeon should be aware that local anatomical anomalies, such as insertion of a lumbrical into the A1 pulley, can be a cause of trigger finger.

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“…Diagnosis may require clinical and ultrasound evaluation. Initial management of trigger finger is conservative and involves non-steroidal anti-inflammatory drugs, metacarpophalangeal joint immobilization, and corticosteroid injections (99). If non-operative treatments are unsuccessful, then surgery is recommended (99).…”

Section: Fibrous Histiocytomamentioning

confidence: 99%

Snapping of the Upper Limb: a Clinical Overview

Moscagiuri¹,

Frizziero²,

Bigliardi³

et al. 2022

Muscle Ligaments and Tendons J

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Snapping results from an abrupt displacement of an anatomic or pathologic structure during the movement of a closely related joint. Snaps are audible, palpable, and often, visible. Snapping phenomena are common within the general population and, in most cases, are associated with mild symptoms. However, especially in athletes, snapping could determine pain and functional impairment that may severely affect their sport activities. We focus on three major types of snapping occurring at specific joints of the upper limbs: the shoulder, the elbow, and the wrist. Here, we provide a comprehensive overview of major advances in the aetiology, pathophysiology, diagnostic imaging, and treatments of these specific snapping phenomena.

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Current Concepts in the Management of Advanced Trigger Finger

Cited by 9 publications

References 52 publications

Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures

Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures

Trigger Finger Due to Anomaly of Lumbrical Insertion

Snapping of the Upper Limb: a Clinical Overview

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