Epidemiology of Trigger Finger: Metabolic Syndrome as a New Perspective of Associated Disease

Abstract

Objective: The aim of this study was to identify the main diseases related to trigger finger. Methods: A retrospective, observational study was performed with data obtained through a computerized record of 75 patients with trigger finger diagnosis between July 2011 and October 2015. The diagnosis of metabolic syndrome was performed following National Cholesterol Education Program Adult Treatment Panel III (2001). Results: Patients’ ages ranged from 50 to 84 years, with a mean age of 63 years. The ring finger was the most affected, followed by the middle finger, index finger, and little finger. Most had a grade 2 trigger finger classified by Green; the right hand involvement was more prevalent, as was the dominant hand. The incidence in women was twice as high as in men. Arterial hypertension, diabetes mellitus, and dyslipidemia were shown to be important associated diseases, but metabolic syndrome was the main association found. Conclusions: Metabolic syndrome in the group of patients studied in this scientific article seems to be the main associated disease.

Diabetes Mellitus as a Risk Factor for Trigger Finger –a Longitudinal Cohort Study Over More Than 20 Years

“…Sex and age were selected to adjust for differences in the compared groups. BMI is a potential risk factor for TF ( 20 , 21 ) as well as statin use ( 22 , 23 ). HR was firstly assessed for each covariate in separate univariate Cox PH regression models.…”

Recognizing and treating trigger finger

“…Notably, a lower success rate has been shown in patients with type 2 diabetes (66%) compared to those without diabetes (90%). 4,23 This difference in success rates is not well understood, as there is no causal relationship between well-controlled diabetes and TF. 4 Complications of corticosteroid injections include local pain, fat atrophy, and hypopigmentation at the site of the injection, as well as short-term elevations in blood glucose levels in patients with diabetes.…”

“…4,23 This difference in success rates is not well understood, as there is no causal relationship between well-controlled diabetes and TF. 4 Complications of corticosteroid injections include local pain, fat atrophy, and hypopigmentation at the site of the injection, as well as short-term elevations in blood glucose levels in patients with diabetes. 5,24 Surgical correction (to be discussed) remains superior to steroid injections in terms of cure rate and resolution of symptoms.…”

“…2,3 Patient age and duration of diabetes are commonly cited as contributing factors, although the effect of well-controlled blood glucose and A1C on the frequency and cure rate of TF has not been established. 3,4 TF is most commonly seen in individuals ages 40 to 60 years, with a 6 times' greater frequency in females than males. 5 In the United States, there are an estimated 200,000 cases of TF each year, with initial presentation typically being to a primary care physician.…”

Ulnar Superficial Slip Resection for Resistant Trigger Finger: A Minimally Invasive Technique

“…It affects 3% of the population and is more common in middle-aged women. 1 Most of the cases are primary. However, in case of concomitant diseases such as metabolic disorders with systemic protein deposition, diabetes, or presence of articular pathology, special attention is required for the concomitant disease management.…”