Occurrence of trigger finger following carpal tunnel release

Yunoki, Masatoshi; Imoto, Ryoji; Kawai, Nobuhiko; Matsumoto, Atsushi; Hirashita, Koji; Yoshino, Katsumi

doi:10.4103/ajns.ajns_149_19

Cited by 5 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…sliding of the flexor tendons in the inner lining. 13 A similar process develops in de Quervain's disease. Thickening of the tendon sheath due to mucopolysaccharide deposition and myxoid degeneration corresponding to chronic TLL-tumor-like lesions (1 Ganglioma, 2 benign giant-cell tumors of tendon sheet), CTS -carpal tunnel syndrome degenerative changes, rather than an inflammatory reaction, was demonstrated in a study conducted in England by examining histopathological specimens taken from 23 operatively treated patients with de Quervain's disease.…”

Section: Discussionmentioning

confidence: 84%

The most common disorders of the hand associated with carpal tunnel syndrome in adults

et al. 2021

View full text Add to dashboard Cite

Carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies caused by chronic compression of the median nerve in the area of the carpal tunnel and its etiology is multifactorial. Trigger fingers and de Quervain’s disease are common disorders of the hand related to CTS in adults.Theaim of this study was to present the most common disorders of the hand such as stenosing tenosynovitis in adults with surgically treated CTS and to evaluate their demographic data.Material and methods: A total of 116 surgically treated patients with established diagnosis of CTS (clinically and by electrophysiological examination) were included in this prospective study, which was conducted at the University Clinic for Orthopedic Diseases in Skopje. Demographic data, findings of history of the disease and clinical examination were recorded and analyzed.Results: Participants with CTS included in the study were with a mean age of 55.41±10.7 years (age range 29-75). 75% of them were female. 63.8% of participants suffered from one or more comorbid chronic diseases. On admission to hospital, disorders such as trigger fingers and de Quervain’s disease were concomitantly diagnosed in 15.51% on ipsilateral hand with CTS. All disorders were surgically treated following open carpal tunnel release, as “one stage procedure”, under local anesthesia.Conclusion: Our findings have determined concomitant existence of CTS and stenosing tenosynovitis (trigger fingers and de Quervain’s disease) on ipsilateral hand, which suggests common etiological factors. Female gender and age range 40-60 years are major common factors related to these three disorders.

show abstract

Section: Discussionmentioning

confidence: 84%

The most common disorders of the hand associated with carpal tunnel syndrome in adults

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The literature indicates that trigger finger may occur in combination with carpal tunnel surgery and that these two diagnoses are frequently seen in the same patient. 38 39 40 41 El-Hadidi et al 42 offered an explanation for the association between carpal tunnel surgery and trigger finger; he described that the angle between the A1 pulley and the flexor tendon increases during carpal tunnel surgery, and this could precipitate greater friction between these two and potentially lead to the onset of a trigger digit. In addition, patients older than 65 were more likely to have a successful outcome after the first injection.…”

Section: Discussionmentioning

confidence: 99%

National Benchmarks for the Efficacy of Trigger Finger and the Risk Factors Associated With Failure

Lewis¹,

Seidel²,

Shi³

et al. 2023

JAAOS Glob Res Rev

View full text Add to dashboard Cite

Background: The purpose of this study was to compare the efficacy of single and multiple corticosteroid injections used for symptomatic trigger finger. The rates of subsequent injections and the rate of tendon sheath release are reported along with the identification of risk factors correlated with failure of injection. Methods: A retrospective review of a national healthcare database was conducted identifying patients with a diagnosis of trigger finger or thumb. Inclusion required a tendon sheath injection on the same day or within six weeks of diagnosis. Patient cohorts were further stratified based on treatment success and those requiring additional injections within 6 months or surgery within 1 year of initial diagnosis.Results: Thirty-one thousand seven hundred fifty-one patients met inclusion criteria and underwent an initial injection within the study period. The efficacy of initial, second, and third injection was 66.3%, 79.4%, and 79.6%, respectively. Of the patients who failed an injection, 9.4% had tendon sheath release after a primary injection, 23.1% had surgery after a second injection, and 30.4% had surgery after a third injection. Only obesity (OR 1.2; P , 0.0001) and concomitant diagnosis of carpal tunnel syndrome (OR 1.4; P , 0.0001) were found to be significant for injection failure on multivariate logistic regression analysis. Discussion: Overall corticosteroid injections were effective in greater than 65% of patients. This information may help guide treatment practice because there seems to be continued additional benefit to repeat corticosteroid injections after injection failure. Stenosing tenosynovitis, commonly known as trigger finger, is a common condition with a 2% to 3% lifetime risk of occurrence. 1 Trigger finger most often occurs idiopathically with an inconsistency between the diameter of the tendon sheath and the flexor tendon of the affected finger; this leads to a narrowing of the sheath and prevents the tendon from moving smoothly through the sheath. [2][3][4] Pain may occur with flexion or extension, and patients often report a clicking or locking sensation with

show abstract

“…Yunoki et al [15] reported on 39 patients who underwent 46 open carpal tunnel release procedures. After carpal tunnel release, trigger finger occurred in 9 hands of 8 patients.…”

Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome and Trigger Finger. Sometimes Related

Ebner,

Kuschner

2023

TOORTHJ

View full text Add to dashboard Cite

Background: Carpal tunnel syndrome and trigger finger are common hand problems. Each can be a cause of pain and disability. Treatment for each diagnosis can be nonoperative or, when nonoperative treatment has failed and when symptoms warrant, treatment can be surgical. Carpal tunnel syndrome and trigger finger can present independently of each other, or, in some cases, both can be present in the same hand. Methods: Data was collected using PearlDiver proprietary software (PearlDiver, Inc, Colorado Springs, CO). This is a national data set from the United States representing 157 million distinct patients over the period from January 2010 to October 2021. PearlDiver was queried for all patients who underwent carpal tunnel release (represented by CTP-64721 for open carpal tunnel releases and CTP-29848 for endoscopic releases) and trigger finger release (represented by CTP-26055) on the same day. Results: Our search identified the number of carpal tunnel releases and the number of carpal tunnel releases + trigger finger release (same day). Carpal tunnel release + trigger finger release represent 8.4% of the total number of carpal tunnel release procedures. Conclusion: Patients who present with carpal tunnel syndrome may be advised that they are at increased risk of developing trigger fingers.

show abstract

Occurrence of trigger finger following carpal tunnel release

Cited by 5 publications

References 28 publications

The most common disorders of the hand associated with carpal tunnel syndrome in adults

The most common disorders of the hand associated with carpal tunnel syndrome in adults

National Benchmarks for the Efficacy of Trigger Finger and the Risk Factors Associated With Failure

Carpal Tunnel Syndrome and Trigger Finger. Sometimes Related

Contact Info

Product

Resources

About