Surgery for trigger finger

Fiorini, Haroldo Junior; Tamaoki, Marcel Jun Sugawara; Lenza, Mário; Santos, João Baptista Gomes dos; Faloppa, Flávio; Belloti, João Carlos

doi:10.1002/14651858.cd009860.pub2

Cited by 45 publications

(89 citation statements)

References 66 publications

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“…In the event of full reduction of symptoms and then recurrence, a second injection may be used. There is less literature to confirm the efficacy of this and the literature that exists shows decreased rates of success [70,71,76]. DASH scores may be useful in determining the likelihood of failure following injection [71].…”

Section: Injection Techniquesmentioning

confidence: 98%

“…Symptom reduction of stenosing tenosynovitis is similar between surgery and corticosteroid injections. While surgical intervention had lower recurrence of symptoms long term, it is associated with longer-lasting pain after the intervention [70]. Disability of arm shoulder and hand (DASH) score may be useful in determining which patients may benefit from surgery [71].…”

Section: Stenosing Tenosynovitismentioning

confidence: 99%

“…Corticosteroid injections are largely regarded as effective and are generally preferred to surgery given their less invasive nature. The long-term effectiveness is not as absolute as surgery; however, certain individuals have symptom reduction of stenosing tenosynovitis for as long as 10 years [70,72,74,75]. Corticosteroid injections are most effective in women who are being treated for their first event of stenosing tenosynovitis [75].…”

Section: Injection Techniquesmentioning

confidence: 99%

“…Single injection is considered to be the best method of care, as double injection does not further reduce symptoms [70,71]. In the event of full reduction of symptoms and then recurrence, a second injection may be used.…”

Section: Injection Techniquesmentioning

confidence: 99%

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Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

et al. 2020

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Introduction: This compilation presents a comprehensive review of the literature on common chronic pain conditions of the hand. It briefly presents these common conditions with their biological background, diagnosis, and common management options. It then presents and compares the latest literature available for injection techniques to treat these diagnoses and compares the available evidence. Methods: A comprehensive literature review was performed in MEDLINE, PubMed, and Cochrane databases from 1996 to 2019 using the terms ''hand pain''

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Section: Injection Techniquesmentioning

confidence: 98%

Section: Stenosing Tenosynovitismentioning

confidence: 99%

Section: Injection Techniquesmentioning

confidence: 99%

Section: Injection Techniquesmentioning

confidence: 99%

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Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

et al. 2020

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“…Fiorini et al 30 conducted a systematic review of trigger finger treatment and concluded that open surgery has a lower recurrence rate when compared with patients treated with infiltration. Brozovich et al 3 pointed out that from a purely financial point of view, women without diabetes with trigger thumb should receive up to two infiltrations before being submitted to percutaneous release.…”

Section: Final Considerationsmentioning

confidence: 99%

Tratamento do Dedo em Gatilho

Belloti

Sato

Faloppa

2020

Rev Bras Ortop (Sao Paulo)

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ResumoO dedo em gatilho é uma afecção frequente. Não obstante a tenossinovite e a alteração da polia A1 serem identificados como fatores desencadeantes, não há consenso sobre a verdadeira causa na literatura, sendo que a sua verdadeira etiologia permanece desconhecida. O diagnóstico é puramente clínico na maior parte das vezes. Ele depende unicamente da existência do travamento do dedo no decorrer da movimentação flexão ativa. O tratamento do dedo em gatilho geralmente se inicia com intervenções não cirúrgicas que são instituídas por pelo menos 3 meses. Nos pacientes em quem haja apresentação inicial com deformidade em flexão ou incapacidade de flexão do dedo, pode haver indicação mais precoce do tratamento cirúrgico em razão da intensidade do quadro álgico e da incapacidade funcional do paciente.No presente artigo de revisão, apresentaremos as modalidades e o nosso algoritmo para o tratamento do dedo em gatilho.

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Common Hand Conditions

Currie

Tadisina

Mackinnon

2022

JAMA

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ImportanceCarpal tunnel syndrome, trigger finger, de Quervain tenosynovitis, and basilar (carpometacarpal) joint arthritis of the thumb can be associated with significant disability.ObservationsCarpal tunnel syndrome is characterized by numbness and tingling in the thumb and the index, middle, and radial ring fingers and by weakness of thumb opposition when severe. It is more common in women and people who are obese, have diabetes, and work in occupations involving use of keyboards, computer mouse, heavy machinery, or vibrating manual tools. The Durkan physical examination maneuver, consisting of firm digital pressure across the carpal tunnel to reproduce symptoms, is 64% sensitive and 83% specific for carpal tunnel syndrome. People with suspected proximal compression or other compressive neuropathies should undergo electrodiagnostic testing, which is approximately more than 80% sensitive and 95% specific for carpal tunnel syndrome. Splinting or steroid injection may temporarily relieve symptoms. Patients who do not respond to conservative therapies may undergo open or endoscopic carpal tunnel release for definitive treatment. Trigger finger, which involves abnormal resistance to smooth flexion and extension (“triggering”) of the affected finger, affects up to 20% of adults with diabetes and approximately 2% of the general population. Steroid injection is the first-line therapy but is less efficacious in people with insulin-dependent diabetes. People with diabetes and those with recurrent symptoms may benefit from early surgical release. de Quervain tenosynovitis, consisting of swelling of the extensor tendons at the wrist, is more common in women than in men. People with frequent mobile phone use are at increased risk. The median age of onset is 40 to 59 years. Steroid injections relieve symptoms in approximately 72% of patients, particularly when combined with immobilization. People with recurrent symptoms may be considered for surgical release of the first dorsal extensor compartment. Thumb carpometacarpal joint arthritis affects approximately 33% of postmenopausal women, according to radiographic evidence of carpometacarpal arthritis. Approximately 20% of patients require treatment for pain and disability. Nonsurgical interventions (immobilization, steroid injection, and pain medication) relieve pain but do not alter disease progression. Surgery may be appropriate for patients unresponsive to conservative treatments.Conclusions and RelevanceCarpal tunnel syndrome, trigger finger, de Quervain tenosynovitis, and thumb carpometacarpal joint arthritis can be associated with significant disability. First-line treatment for each condition consists of steroid injection, immobilization, or both. For patients who do not respond to noninvasive therapy or for progressive disease despite conservative therapy, surgical treatment is safe and effective.

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Surgery for trigger finger

Abstract: Analysis 9.1. Comparison 9 Open surgery by transverse incision of the skin in the distal palmar crease versus open surgery by transverse incision of the skin about 2-3 mm distally from distal palmar crease, Outcome 1 DASH score. .

Cited by 45 publications

References 66 publications

Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

Tratamento do Dedo em Gatilho

Common Hand Conditions

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