Ultrasound Features of Trigger Finger: Review of the Literature

Bianchi, Stefano; Gitto, Salvatore; Draghi, Ferdinando

doi:10.1002/jum.15025

Cited by 37 publications

(58 citation statements)

References 86 publications

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“…This could be due to the higher prevalence of CTS and TF among women [2,3,[48][49][50]. (ii) Musculoskeletal ultrasonography for the assessment of CTS and TF was not applied [51][52][53]. (iii) No long-term follow-up was done for patients with only CTS or only TF for the assessment of the rate of development of the other condition over time.…”

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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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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“…US can be used to evaluate finger pulleys in trigger fingers and annular pulley ruptures. Accurate static and dynamic US evaluation are of comparable value to MRI in distinguishing partial, complete, and combined pulley ruptures from overuse injuries 230 231 232 . Flexor tendon thickness and annular pulley measurements have been proven to be feasible and valid in cadaver studies as well as in patients and healthy volunteers with good inter- and intraobserver reliabilities 233 234 .…”

Section: Extraarticular Anatomical Structuresmentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

et al. 2021

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The first part of the guidelines and recommendations for musculoskeletal ultrasound, produced under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB), provides information about the use of musculoskeletal ultrasound for assessing extraarticular structures (muscles, tendons, entheses, ligaments, bones, bursae, fasciae, nerves, skin, subcutaneous tissues, and nails) and their pathologies. Clinical applications, practical points, limitations, and artifacts are described and discussed for every structure. After an extensive literature review, the recommendations have been developed according to the Oxford Centre for Evidence-based Medicine and GRADE criteria and the consensus level was established through a Delphi process. The document is intended to guide clinical users in their daily practice.

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“…The clinical presentation includes painful blockage and triggering of the digit from flexion to extension ( 23 ) . The main US findings are A1 pulley thickening and flexor tendon thickening with loss of fibrillar echotexture ( 28 ) . The first-line treatment includes rest, anti-inflammatory medications, and splinting.…”

Section: Handmentioning

confidence: 99%

Ultrasound-guided musculoskeletal interventional procedures around the elbow, hand and wrist excluding carpal tunnel procedures

et al. 2021

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Ultrasound is a fast, reliable and radiation-free method for the assessment of a wide range of pathological conditions, as well as for the guidance of percutaneous interventional procedures around the elbow, hand and wrist. Intraarticular and periarticular interventional procedures can be easily performed under continuous ultrasound monitoring to ensure correct needle positioning and medication delivery to a specific target. The most common ultrasound-guided procedures performed around the elbow, wrist, and hand are described in this review, excluding carpal tunnel procedures. Specifically, elbow steroid injections are performed in patients with inflammatory disorders, while hyaluronic acid can be administered in case of osteoarthritis. Septic olecranon bursitis requires percutaneous drainage for diagnosis and appropriate treatment. Dry needling and injection of regenerative medications, such as blood derivatives, are among the treatment options for lateral epicondylosis. Steroid injections are performed to give symptom relief in patients with ulnar neuropathy at the elbow. Hand and wrist steroid injections are performed in case of osteoarthritis, subsequently followed by hyaluronic acid injections, and in inflammatory disorders. Wrist ganglia can be safely aspirated and injected with steroids under ultrasound guidance. De Quervain’s tenosynovitis and trigger finger are chronic tenosynovitides of the wrist and digits, respectively, which can be treated with steroid injections, subsequently followed by hyaluronic acid injections. In conclusion, proper knowledge of the musculoskeletal disorders around the elbow, hand and wrist, as well as US-guided treatment options and operator training, are prerequisites to achieve good outcomes.

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Ultrasound Features of Trigger Finger: Review of the Literature

Cited by 37 publications

References 86 publications

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

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

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

Ultrasound-guided musculoskeletal interventional procedures around the elbow, hand and wrist excluding carpal tunnel procedures

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