Management of Diabetic Trigger Finger

Kuczmarski, Alexander S.; Harris, Andrew P.; Gil, Joseph A.; Weiss, Arnold‐Peter C.

doi:10.1016/j.jhsa.2018.03.045

Cited by 44 publications

(20 citation statements)

References 19 publications

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“…Ganglion cysts are the most common soft-tissue tumours of the hand and wrist occurring most commonly in young adults with a slight female predominance [ 9 , 23 ]. Similar to carpal tunnel syndrome and ganglion cysts, trigger finger is most common among women in the fifth or sixth decade of life with higher reported prevalence in those with diabetes mellitus, rheumatoid arthritis, or amyloidosis [ 10 , 12 , 24 , 25 ]. Wildin et al reported a 36% increase in primary care referral for elective hand surgery in the United Kingdom over the course of one decade with a referral rate of 112 per 100,000 patients per year for carpal tunnel syndrome and 55 per 100,000 patients per year for ganglion cysts [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Utilizing Google Trends to Track Online Interest in Elective Hand Surgery During the COVID-19 Pandemic

Mohty¹,

Lashkari²,

Gittings³

et al. 2021

Cureus

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IntroductionElective hand surgery encompasses a large volume of orthopaedic cases annually. Carpal tunnel syndrome, ganglion cysts, and trigger digits are some of the most common pathologies treated by hand surgeons. In the midst of the COVID-19 pandemic, patient's interest in elective hand surgery for these conditions is uncertain. The objective of this study is to use Google Trends to track online interest in elective hand surgery in the United States during the COVID-19 pandemic. MethodsOnline search trends regarding elective orthopaedic hand surgery were obtained via Google Trends from November 2019 to November 2020. Three common hand pathologies in lay terms ("carpal tunnel," "'ganglion cyst' + 'wrist cyst,'" and "trigger finger") and three hand surgery-specific keywords ("hand surgery," "carpal tunnel surgery," and "trigger finger surgery") were used as search terms. The search volume index (SVI) graphs for the United States for both sets of search terms were then generated from the Google Trends data and compared to the seven-day average of new COVID-19 cases per day as reported by the CDC. A separate SVI graph was then created for the search term "coronavirus" and was compared against both sets of search terms as above. ResultsSearch trends for all elective hand pathologies and surgery-specific keywords remained constant from November 2019 to the beginning of March 2020 and then decreased significantly within a one-month period following the peak in COVID-19 cases the week of March 15, 2020. Search trends for these keywords increased to baseline levels over the next few months. The search trend for "coronavirus" demonstrated a small search volume index peak of 13 during January 2020 followed by the maximum peak of 100 during the week of March 15, 2020, corresponding to the decrease in search trends of elective hand surgery at that time. ConclusionsOnline interest in elective hand surgery remained constant prior to the COVID-19 pandemic; however, there was a marked decrease in search trends of elective hand surgery with the rise in daily reported COVID-19 cases, suggesting that patient's interest in elective hand surgery decreased with the onset of the pandemic.

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Section: Discussionmentioning

confidence: 99%

Utilizing Google Trends to Track Online Interest in Elective Hand Surgery During the COVID-19 Pandemic

Mohty¹,

Lashkari²,

Gittings³

et al. 2021

Cureus

View full text Add to dashboard Cite

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“…Isso porque outras condições como a queiroartropatia e síndrome da mão rígida estão presentes concomitantemente com o dedo em gatilho. 16 A maioria dos casos requerem tratamento cirúrgico com a liberação a céu aberto da polia A1. 17 Esse tipo de procedimento não se enquadra para a paciente em questão, já que houve boa resposta ao tratamento conservador.…”

Section: Discussionunclassified

Comprometimento de mãos e punhos no diabetes tipo 2 – relato de caso

et al. 2020

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O diabetes mellitus tipo 2 (DM2) é uma doença crônica de alta prevalência no mundo, a qual é causadora de importante morbimortalidade devido às suas complicações sistêmicas. Dentre elas, inclui-se as manifestações musculoesqueléticas caracterizadas pelo comprometimento ósseo e de tecido mole periarticular. Relata-se o caso de paciente do sexo feminino de 48 anos com DM2 e hipertensa há 12 anos, a mesma foi encaminhada por meio de um projeto de pesquisa ao serviço de reumatologia. No atendimento médico, relata um quadro de dor crônica com início em 2015, principalmente da mão esquerda com parestesia em punho. Além disso, relata que o dedo anelar da mesma mão se torna rígido necessitando deslocá-lo para voltar a sua posição normal. Pelos achados de exame físico e de imagem constatou-se um diagnóstico de tendinite de Quervain, dedo em gatilho e síndrome do túnel do carpo. Espera-se com esse relato conscientizar outros profissionais da real importância do tema. Torna-se imprescindível a exploração de queixas musculoesqueléticas objetivando um diagnóstico precoce, evitando um comprometimento na qualidade de vida de pacientes semelhantes a esse.

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“…CSIs can be given subcutaneously or within the flexor tendon sheath with the use of US guidance, without measurable clinical difference 32 . Studies tend to agree that approximately 50% of all patients receiving injections will achieve resolution after a single injection, although the exact numbers vary depending on the length of follow-up and patient characteristics (e.g., there is a potential for poorer outcomes in patients with diabetes) 33 . Perhaps the best evidence for the long-term effectiveness of CSIs comes from a case series that analyzed 366 first-time injections into the flexor tendon sheath.…”

Section: Nonoperative Managementmentioning

confidence: 99%

Current Concepts in the Management of Advanced Trigger Finger

et al. 2021

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While the majority of patients with trigger finger obtain excellent outcomes from nonoperative treatment or release of the A1 pulley, a subset of patients with advanced trigger finger, defined as trigger finger with loss of active or passive range of motion, may have incomplete symptom relief and warrant specific attention.» Advanced trigger finger is more refractory to complete symptom resolution from corticosteroid injection, and particular attention should be paid to incomplete improvement of flexion contractures.» Unlike simple trigger finger, the pathology in advanced trigger finger involves not only the A1 pulley but also the flexor tendon, including thickening and degeneration.

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Management of Diabetic Trigger Finger

Cited by 44 publications

References 19 publications

Utilizing Google Trends to Track Online Interest in Elective Hand Surgery During the COVID-19 Pandemic

Utilizing Google Trends to Track Online Interest in Elective Hand Surgery During the COVID-19 Pandemic

Comprometimento de mãos e punhos no diabetes tipo 2 – relato de caso

Current Concepts in the Management of Advanced Trigger Finger

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