Acupotomy for patients with trigger finger

Abstract

Background:Trigger finger is thought to be caused by aseptic inflammation of the A1 pulley and subsequent thickening and narrowing of the fibrous sheath. Acupotomy has been an important treatment for trigger finger. But an updated systematic review about this issue has not yet been released. This systematic review protocol is aimed at providing a higher quality method used to evaluate the efficacy and safety of acupotomy treatment for trigger finger.Methods:The following databases will be searched from the study inception to July 2019: the Cochrane Central Register of Controlled Trials (Cochrane Library), MEDLINE, EMBASE, PubMed, China National Knowledge Infrastructure, Wan-Fang Data, and Chinese Biomedical Literature Database. All English or Chinese randomized controlled trials related to acupotomy for trigger finger will be included. Two reviewers will independently perform the processes of study inclusion, data extraction, and quality assessment. The primary outcome will be assessed by improvement of the pain symptoms and finger activity. Secondary outcomes will be assessed through Safety assessment. Meta-analysis will be completed by RevMan V.5.3 software.Results:This systematic review will provide an assessment of the current state of acupotomy for trigger finger, aiming to show the efficacy and safety of treatment.Conclusion:This systematic review will re-evaluate a higher-quality systematic review to obtain a relatively convincing conclusion that finds acupotomy to be a better choice for trigger finger patients.PROSPERO registration number:CRD42018118663

Acupuncture for trigger finger: a case report

“…Trigger finger is thought to be caused by aseptic inflammation of the A1 pulley and subsequent thickening and narrowing of the fibrous sheath. 3 It is a common hand disease that often requires surgery, 4 and the cost of treatment can be high, meaning that some patients may endure pain and limitation of thumb activity to avoid out-of-pocket expenses. Although no firm conclusions can be drawn from this single, uncontrolled case report, the findings are encouraging and provide support for acupuncture as an inexpensive, rapid and easy potential treatment strategy for trigger finger.…”

Different acupotomy for stenosing tenosynovitis

“…At present, there are many clinical reports on the treatment of STS with acupotomy, and the clinical effect is more significant [7–9] . However, there are many kinds of acupotomy, and the treatment advantages are not the same.…”

“…At present, there are many clinical reports on the treatment of STS with acupotomy, and the clinical effect is more significant. [7][8][9] However, there are many kinds of acupotomy, and the treatment advantages are not the same. There is a lack of comparative study between different acupotomy treatments, which brings trouble to the choice of clinicians.…”

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

“…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…”

“… 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 - 4 Pain may occur with flexion or extension, and patients often report a clicking or locking sensation with finger movement, stiffness that is worse in the morning, and swelling in the metacarpophalangeal joint. 5 , 6 Established risk factors for trigger finger include female sex, age between 40 and 60 years, carpal tunnel syndrome, rheumatoid arthritis, and diabetic comorbidity.…”