Is carpal tunnel release associated with trigger finger?

Guillou, A. Le; Despréaux, Thomas; Descatha, Alexis

doi:10.1016/j.main.2015.03.003

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…3 Our rate of new ipsilateral TFs after open CTR, (6.8%) is within the same range as other studies investigating similar outcomes. 7,[12][13][14][15] We also found the thumb to be the most common trigger digit after CTR, followed by the ring and middle fingers, which is consistent with other studies. 13,14 It is interesting that the most common fingers affected with triggering in the nonoperative hand were the middle and ring fingers, with the thumb only involved in 9.5% TFs in the Trigger Finger After Carpal Tunnel Release Raducha et al 415…”

Section: Discussionsupporting

confidence: 92%

“…The rate and time to developing TF after CTS has been previously reported in the literature with varying rates, and there is a lack of consensus as to what risk factors may be associated with TF development. 7,9,[11][12][13][14] It has been theorized that there is a higher rate of developing TF after CTR due to the anatomic changes as a result of division of the transverse carpal ligament. Specifically, it has been proposed that a volar translation of the flexor tendons changes the direction of pull at the A1 pulley and can increase tenosynovitis.…”

Section: Discussionmentioning

confidence: 99%

“…While the association between these pathologies has been shown, there remains conflicting evidence in the literature in understanding whether CTR is an independent risk factor for TF development, and the literature has been inconsistent in reporting which comorbidities are related to TF development. [9][10][11][12] The literature also reports variable frequencies with respect to which digits develop TF after CTR, 13 and it has been suggested that the distribution of digits with TF changes with CTR. 9 This study seeks to further characterize the relationship between CTR and TF at our institution, and we aim to build a better understanding of risk factors for TF after CTR in the postoperative period.…”

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confidence: 99%

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Rates of and Risk Factors for Trigger Finger after Open Carpal Tunnel Release

et al. 2021

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Background We have anecdotally noticed a higher rate of trigger fingers (TFs) developing in patients who have undergone carpal tunnel release (CTR). Questions/Objective Is the rate of TFs after CTR greater compared to the nonoperative hand? Is the thumb more commonly involved postoperatively compared with spontaneous TFs? Do particular associated comorbidities increase this risk? Patients and Methods We queried our institutional database for patients who had undergone open CTR during a 2-year period and recorded the development of an ipsilateral TF after a CTR or a contralateral TF in the nonoperative hand. Patient demographics, comorbidities, concurrent initial procedures, time to diagnosis, and finger involvement were recorded. Results A total of 435 patients underwent 556 CTRs during this period. Furthermore, 46 ipsilateral TFs developed in 38 of 556 cases (6.83%) at an average of 228.1 ± 195.7 days after surgery. The thumb was most commonly involved (37.0%) followed by the ring finger (28.3%). The incidence rate of TF in the nonoperative hand during this period was 2.7%, with the ring finger and middle finger most commonly involved (33.3 and 28.6%, respectively). Only history of prior TF in either hand was found to be a significantly associated on Chi-square analysis and multivariable regression (p < 0.001). Conclusion In patients with carpal tunnel syndrome, ipsilateral TFs occurred after 6.83% of CTRs, compared with a rate of 2.7% in the nonoperative hand, making it an important possible outcome to discuss with patients. The thumb was more commonly involved in triggering in the surgical hand compared with the nonoperative hand. Patients with a history of prior TFs in either hand were more likely to develop an ipsilateral TF after CTR. Level of Evidence This is a Level III, retrospective study.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Rates of and Risk Factors for Trigger Finger after Open Carpal Tunnel Release

et al. 2021

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“…However, there are scanty studies that evaluated the concurrent presentation and association of idiopathic CTS with idiopathic TF in the same [7,9,12]. There are many reports which stated that surgical treatment of CTS (median nerve decompression surgery) was associated with the development of TF [8,10,[26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Association between carpal tunnel syndrome and trigger finger: a clinical and electrophysiological study

Saba

2021

Egypt Rheumatol Rehabil

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Background Carpal tunnel syndrome is a prevalent mononeuropathy. Trigger finger is a flexor stenosing tenosynovitis. 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 finger. The study included 110 hands (75 patients) presented with carpal tunnel syndrome or trigger finger and 60 asymptomatic hands (46 apparently healthy individuals). Clinical assessment and neurophysiological evaluation were done. Results Regarding the presenting clinical complaints, there were 76 hands (69.1%) from 48 patients (64.0%) presented with idiopathic carpal tunnel syndrome. There 34 hands (30.9%) from 27 patients (36.0%) presented with idiopathic trigger finger. Classification of the patients into three groups depending on the final diagnosis: (I) carpal tunnel syndrome group, 57 hands (51.8%) with only carpal tunnel syndrome from 36 patients (48.0%); (II) trigger finger group, 25 hands (22.7%) with only trigger finger from 22 patients (29.3%); and (III) carpal tunnel syndrome with trigger finger group, 28 hands (25.5%) with both conditions from 24 patients (32.0%); and among them, seven patients had contralateral hand carpal tunnel syndrome only. The duration of complaints among the carpal tunnel syndrome with trigger finger group was significantly shorter than that in the other two groups. There were statistically significantly higher values of patient global assessment of hand symptoms and effect of hand symptoms on function and quality of life among the carpal tunnel syndrome with trigger finger group versus the other two groups. There was no statistically significant difference between the carpal tunnel syndrome with trigger finger group versus the carpal tunnel syndrome group regarding different classes of the Padua neurophysiological classification scale. The most common digit to have trigger finger was the middle finger in 19 hands (35.8%). Conclusions The concurrent presentation of idiopathic carpal tunnel syndrome and idiopathic trigger finger in the same hand is common. Each of them could be associated with the other one. The symptoms of one of them usually predominate the patient’s complaints. The identification of this association is essential for proper diagnosis and comprehensive management of patients presented with these conditions.

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“…There could be another coexisting, yet unknown, predisposing disorder 105,133,192 or a local biomechanical component. Volar migration of the flexor tendons, after surgery for carpal tunnel syndrome has been suggested 193,194 , but there is no evidence for an association between surgery for carpal tunnel and postoperative trigger finger 195,196 .…”

Section: Carpal Tunnel Syndromementioning

confidence: 99%

Tendinosis in Trigger Finger

Lundin¹

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Is carpal tunnel release associated with trigger finger?

Cited by 4 publications

References 10 publications

Rates of and Risk Factors for Trigger Finger after Open Carpal Tunnel Release

Rates of and Risk Factors for Trigger Finger after Open Carpal Tunnel Release

Association between carpal tunnel syndrome and trigger finger: a clinical and electrophysiological study

Tendinosis in Trigger Finger

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