Trigger Finger

Giugale, Juan M.; Fowler, John R.

doi:10.1016/j.ocl.2015.06.014

Cited by 47 publications

(40 citation statements)

References 56 publications

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“…Although published management algorithms and strategies have reported good outcomes through a variety of different means, there is no general consensus as to the best method to treat PTF. 32 , 36 , 37 …”

Section: Introductionmentioning

confidence: 99%

Treatment of paediatric trigger finger: A systematic review and treatment algorithm

Womack

Ryan

Shillingford-Cole

et al. 2018

Journal of Children's Orthopaedics

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PurposePaediatric trigger finger (PTF) is a rare condition as seen by the lack of studies published about paediatric populations. Due to this general lack of information, the steps to employ to correct this disorder, whether surgically or non-surgically, have not yet reached consensus status. The objective of this study is to review the published literature regarding treatment options for PTF in order to develop a proposed step-wise treatment algorithm for children presenting with trigger finger.MethodsA systematic review of the literature was conducted on PubMed to locate English language studies reporting on treatment interventions of PTF. Data was collected on number of patients/fingers seen in the study, the category of the fingers involved, the number of patients/fingers undergoing each intervention and reported outcomes.ResultsSeven articles reporting on 118 trigger fingers were identified. In all, 64 fingers were treated non-surgically, with 57.8% (37/64) resolving. In all, 54 fingers were initially surgically treated, with 87% (47/54) resolving. In total, 34 fingers did not have resolution of symptoms following primary treatment, and 27 fingers received follow-up treatment, with 92.6% (25/27) resolving. Overall, 92.4% (109/118) of fingers achieved resolution of symptoms after all treatments were completed.ConclusionLimitations for this study included few prospective studies and small sample sizes. This is likely due to the rarity of PTF. This review of the literature indicated that a step-wise approach, including non-operative and surgical techniques, should be employed in the management of PTF.Level of Evidence IIIThis work meets the requirements of the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses).

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Section: Introductionmentioning

confidence: 99%

Treatment of paediatric trigger finger: A systematic review and treatment algorithm

Womack

Ryan

Shillingford-Cole

et al. 2018

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

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“…Trigger finger is a common condition typically arising spontaneously, with a reported lifetime prevalence of approximately 2.5 percent [1, 2]. Trauma is a known etiology of trigger finger and several risk factors have been implicated as contributing factors including diabetes mellitus and inflammatory arthropathy [2].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Trauma is a known etiology of trigger finger and several risk factors have been implicated as contributing factors including diabetes mellitus and inflammatory arthropathy [2]. The pathology most often arises from nodularity of the flexor tendons, stenosis of the pulley system, or a combination, resulting in pain with catching and locking when the digit is brought from flexion to extension [2, 3]. Here, we present a unique case of atraumatic trigger finger which was taken to the operating room for A1 pulley release at which time it was discovered intraoperatively to be secondary to a subclinical partial attritional rupture of the small finger flexor digitorum profundus tendon.…”

Section: Introductionmentioning

confidence: 99%

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Subclinical Partial Attritional Rupture of the Flexor Digitorum Profundus as an Etiology of Atraumatic Trigger Finger

Bastian

Kusnezov

Dunn

et al. 2017

Case Reports in Orthopedics

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Background Trigger finger is a relatively common clinical entity. The etiology is most often attributable to stenosing tenosynovitis though traumatic cases have been described. When trigger finger is associated with an underlying flexor tendon rupture, previous cases have reported a clear association with overt laceration or previous trauma. Methods We present the case of a 23-year-old male active duty military service member who presented with a characteristic history and clinical exam consistent with trigger finger. The symptomatic onset was gradual, with no history of inciting trauma. Results Given symptomatic persistent triggering following failure of conservative management to include cortisone injections, the patient was taken for open A1 pulley release. Intraoperatively, the triggering was found to be attributable to a partial attritional rupture of the small finger flexor digitorum profundus tendon. Tendon debridement, tubularization, and A1 and partial A2 pulley releases were performed with subsequent resolution of triggering. Conclusion We present the rare case of subclinical atraumatic attritional rupture of the FDP tendon to the small finger as a cause of clinically apparent trigger finger. This is an important consideration as the hand surgeon must be prepared to address more atypical pathologies.

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“…Symptoms can be so pronounced that a finger or thumb can be locked in flexion or extension. When conservative treatment for trigger digit fails, surgical procedure in releasing the A1 pulley is required [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

The Safety of Percutaneous Trigger Digit Release Increased by Neurovascular Displacement with Local Hydraulic Dilatation: An Anatomical and Clinical Study

Wang

Amajoyi

et al. 2017

Med Sci Monit

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BackgroundAlthough percutaneous trigger digit release is common, controversy exists regarding its safety. The purpose of this study was to evaluate the feasibility and safety of the neurovascular displacement by local hydraulic dilatation (LHD) during percutaneous trigger digit release.Material/MethodsTen cadaver hands with 50 digits were dissected in this anatomical study. The distance between bilateral neurovascular bundles in each digit was measured before LHD and after LHD. The difference between the measured data before LHD and those after LHD in the same digit was compared to assess the feasibility of the neurovascular displacement by LHD. A further 81 patients with 106 trigger digits were treated by percutaneous release with neurovascular displacement by LHD in our clinical series. All patients were followed for 12 months. During the follow-up period, the presence of any postoperative complication and patient satisfaction were recorded.ResultsIn our anatomical study, there was a statistically significant difference (p<0.05) comparing the average distance of bilateral neurovascular bundles before LHD with that after LHD. In the current series, no complications, such as digital neurovascular injury or recurrence of trigger, were encountered. On subjective assessment, 80/81 patients (98.8%) with 105/106 digits (99.1%) were graded as satisfactory with complete resolution of symptoms by percutaneous release under LHD.ConclusionsBased on our study anatomical and clinical results, the neurovascular displacement by LHD may be a feasible adjunctive technique that may play a role in increasing the safety of percutaneous trigger digit release.

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Trigger Finger

Cited by 47 publications

References 56 publications

Treatment of paediatric trigger finger: A systematic review and treatment algorithm

Treatment of paediatric trigger finger: A systematic review and treatment algorithm

Subclinical Partial Attritional Rupture of the Flexor Digitorum Profundus as an Etiology of Atraumatic Trigger Finger

The Safety of Percutaneous Trigger Digit Release Increased by Neurovascular Displacement with Local Hydraulic Dilatation: An Anatomical and Clinical Study

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