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Trigger Finger

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1. Surgery for trigger finger. (PubMed)

Surgery for trigger finger. Trigger finger is a common clinical disorder, characterised by pain and catching as the patient flexes and extends digits because of disproportion between the diameter of flexor tendons and the A1 pulley. The treatment approach may include non-surgical or surgical treatments. Currently there is no consensus about the best surgical treatment approach (open, percutaneous or endoscopic approaches).To evaluate the effectiveness and safety of different methods of surgical (...) treatment for trigger finger (open, percutaneous or endoscopic approaches) in adults at any stage of the disease.We searched CENTRAL, MEDLINE, Embase and LILACS up to August 2017.We included randomised or quasi-randomised controlled trials that assessed adults with trigger finger and compared any type of surgical treatment with each other or with any other non-surgical intervention. The major outcomes were the resolution of trigger finger, pain, hand function, participant-reported treatment success

2018 Cochrane

3. Does exercise or splinting in the treatment of trigger finger reduce pain, improve range of movement, grip strength, function and return to work when compared with usual care?

Does exercise or splinting in the treatment of trigger finger reduce pain, improve range of movement, grip strength, function and return to work when compared with usual care? Recently Reviewed and Updated CAT June 2018 Previous CAT Lead: Carol Graham Updated CAT Lead: Carol Graham Date CAT to be reviewed: 2021 Date CAT completed: June 2018 email of CAT Lead: carol.graham@mpft.nhs.uk 1 1 Short Question: Specific Question: Does exercise or splinting in the treatment of trigger finger reduce pain (...) , improve range of movement, grip strength, function and return to work when compared with usual care? Clinical bottom line There is a lack of quality evidence for exercise and splinting in the management of adult trigger finger. However, in the absence of evidence of harm or effectivess of these interventions, they maybe an option for those individuals who wish to avoid invasive procedures. Why is this important? Adults (18+) are referred to therapy departments for exercise and splinting to manage

2018 Public Health England

4. Different Dosages of Triamcinolone Acetonide Injection for the Treatment of Trigger Finger and Thumb: A Randomized Controlled Trial. (PubMed)

Different Dosages of Triamcinolone Acetonide Injection for the Treatment of Trigger Finger and Thumb: A Randomized Controlled Trial. This study was designed to compare the efficacy and complications between 3 different dosages of triamcinolone acetonide for the treatment of trigger finger.Ninety-three patients with a total of 120 trigger digits were included in the study. The involved digits were randomized to 3 groups. Each group received treatment consisting of injection with 5, 10 or 20 mg (...) significant higher success rate when compare to 5 mg at 3 months. There were no differences of success rate between groups at 9 and 12 months. At 12 months, 7 of 40 digits (17.5%) in the 5 mg group, 7 of 40 digits (17.5%) in the 10 mg group, and 9 of 40 digit (22.5%) in the 20 mg group were without triggering (p = 0.806).A dose-response characteristic was demonstrated in the treatment of trigger finger with triamcinolone acetonide. Triamcinolone acetonide 5 mg seems to have the lowest success rate.

2018 The journal of hand surgery Asian-Pacific volume

5. Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review

Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review To provide an evidence-based overview of the effectiveness of conservative and (post)surgical interventions for trigger finger, Dupuytren disease, and De Quervain disease.Cochrane Library, Physiotherapy Evidence Database, PubMed, Embase, and CINAHL were searched to identify relevant systematic reviews and randomized controlled trials (RCTs (...) ).Two reviewers independently applied the inclusion criteria to select potential studies.Two reviewers independently extracted the data and assessed the methodologic quality.A best-evidence synthesis was performed to summarize the results. Two reviews (trigger finger and De Quervain disease) and 37 randomized controlled trials (RCTs) (trigger finger: n=8; Dupuytren disease: n=14, and De Quervain disease: n=15) were included. The trials reported on oral medication (Dupuytren disease), physiotherapy

2018 EvidenceUpdates

6. The 'triad' - carpal tunnel syndrome, trigger Finger and Dupuytren's contracture

The 'triad' - carpal tunnel syndrome, trigger Finger and Dupuytren's contracture The 'triad' - CTS, Trigger Finger and Dupuytren's contracture | Carpal-Tunnel.net The 'triad' - CTS, Trigger Finger and Dupuytren's contracture This group of three conditions are often seen together in the same patient, either at the same time or one after the other, they are: Trigger digit (Stenosing Tenosynovitis) – in this disorder thickening and irregularity of the tendons which connect the forearm muscle (...) to the fingers causes them to get stuck in the pulleys which hold the tendons against the bones at each joint. This can cause pain and locking of the fingers in a flexed position. When they are forcibly straightened with the other hand they ‘click’ straight again – hence the name ‘trigger’ digit. Dupuytren’s Contracture – this condition is caused by thickening of fibrous tissue in the palm called the palmar fascia. As it thickens it contracts and this too can cause the fingers to be pulled into a flexed

2014 Carpal-Tunnel.net

7. Trigger finger secondary to a neglected flexor tendon rupture. (PubMed)

Trigger finger secondary to a neglected flexor tendon rupture. Secondary trigger finger caused by trauma to the hand, especially associated with partial flexor tendon rupture, is not a common condition. Thus, the clinical manifestations of these patients are not well-known. The aim of this study is to present secondary trigger finger caused by a neglected partial flexor tendon rupture including discussion of the mechanism and treatment.We retrospectively reviewed the records of 6 patients (...) with trigger finger caused by a neglected partial flexor tendon rupture who had been treated with exploration, debridement, and repairing of the ruptured tendon from August 2010 to May 2015. The average patient age was 41 years (range, 23-59). The time from injury to treatment averaged 4.7 months. The average follow-up period was 9 months (range, 4-18). Functional outcome was evaluated from a comparison between the Quick-disabilities of the arm, shoulder, and hand (DASH) score and the visual analogue scale

2019 Medicine

8. The Feasibility and Usability of a Ranking Tool to Elicit Patient Preferences for the Treatment of Trigger Finger. (PubMed)

The Feasibility and Usability of a Ranking Tool to Elicit Patient Preferences for the Treatment of Trigger Finger. Shared decision making is an approach where physicians and patients collaborate to make decisions based on patient values. This requires eliciting patients' preferences for each treatment attribute before making decisions; a structured process for preference elicitation does not exist in hand surgery. We tested the feasibility and usability of a ranking tool to elicit patient (...) preferences for the treatment of trigger finger. We hypothesized that the tool would be usable and feasible at the point of care.Thirty patients with a trigger finger without prior treatment were recruited from a hand surgery clinic. A preference elicitation tool was created that presented 3 treatment options (surgical release, injection, and therapy and orthosis) and described attributes of each treatment extracted from literature review (eg, success rate, complications). We presented these attributes

2019 Journal of Hand Surgery - American

9. A randomized comparison of ultrasound-guided versus landmark-based corticosteroid injection for trigger finger. (PubMed)

A randomized comparison of ultrasound-guided versus landmark-based corticosteroid injection for trigger finger. One hundred and four patients who had been diagnosed with trigger finger and were to be treated by corticosteroid injection were randomized into two groups; one for landmark-based injection and the other for ultrasound-guided injection. The response to treatment, including objective triggering, the visual analogue scale score for pain and the Quick Disability of the Arm, Shoulder (...) , and Hand (QuickDASH) score were assessed at 12- and 24-weeks follow-up. No significant differences between the two groups were observed in pain or QuickDASH scores at 24 weeks of follow-up. The incidences of adverse events were similar between the two groups. Ultrasound-guided steroid injection provides no benefit in treating trigger finger. Level of evidence: II.

2019 Journal of Hand Surgery - European

10. A prospective, randomized clinical trial of transverse versus longitudinal incisions for trigger finger release. (PubMed)

A prospective, randomized clinical trial of transverse versus longitudinal incisions for trigger finger release. We investigated whether incision type affects scar quality or outcome following trigger finger release. Our primary and secondary hypotheses were that transverse and longitudinal incision types yield similar scar quality and functional improvement. Digits undergoing trigger finger release at the participating hospitals were randomized to receive transverse or longitudinal incisions (...) . The Patient Scar Assessment Scale, Observer Scar Assessment Scale, and the Disabilities of the Arm, Shoulder and Hand score were collected at 8 and 54 weeks postoperatively. Of 86 randomized patients, 67 patients (71%) had followed-up at 54 weeks postoperatively. We found no significant differences in above three assessments between the incisions at either time-point. Among patients receiving both incision types for multiple simultaneous trigger finger release, there were no significant differences

2019 Journal of Hand Surgery - European

11. Intra-sheath versus extra-sheath ultrasound guided corticosteroid injection for trigger finger: a triple blinded randomized clinical trial. (PubMed)

Intra-sheath versus extra-sheath ultrasound guided corticosteroid injection for trigger finger: a triple blinded randomized clinical trial. The aim of this study is to compare clinical results of ultrasound-guided corticosteroid injection, intra-sheath versus extra-sheath of the finger flexor tendon.A total of 166 patients with trigger finger were evaluated in a triple blind randomized clinical trial study. All the patients were injected with 1ml of 40mg/ml methyl prednisolone acetate, under (...) or extra-sheath of the finger flexor tendon under ultrasound guidance in patients with trigger finger are comparably alike. Extra-sheath injection at the level of A1 pulley is as effective as an Intra-sheath administration.

2018 The Physician and sportsmedicine

12. Does Bowstringing Affect Hand Function in Patients Treated With A1 Pulley Release for Trigger Fingers?: Comparison Between Percutaneous Versus Open Technique. (PubMed)

Does Bowstringing Affect Hand Function in Patients Treated With A1 Pulley Release for Trigger Fingers?: Comparison Between Percutaneous Versus Open Technique. We aimed to inspect bowstringing after percutaneous and open release of the A1 pulley for trigger digits and its influence on hand function. Sixty-two patients with a resistant trigger digit were randomized to undergo either open release or percutaneous release of the A1 pulley. We quantified bowstringing of the digit using (...) without showing significant difference between the 2 groups. The clinical outcomes of each cohort improved significantly, with no difference between the groups at final follow-up. No association was found between bowstringing and any clinical outcome measure. Bowstringing occurred by A1 pulley release with either the percutaneous or open technique does not affect clinical hand function in patients with trigger fingers.

2018 Annals of plastic surgery

13. Promyelocytic leukemia zinc finger triggers ATP-binding cassette subfamily E member 1-mediated growth inhibition in breast cancer cells (PubMed)

Promyelocytic leukemia zinc finger triggers ATP-binding cassette subfamily E member 1-mediated growth inhibition in breast cancer cells The promyelocytic leukemia zinc finger (PLZF) protein is a transcription factor that is involved in a number of biological processes, including those regulating cellular growth; however, little is known regarding how it achieves its inhibitory effect in different cell and tissue types. It has previously been demonstrated that PLZF expression levels become

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2018 Oncology letters

14. Outcomes of Corticosteroid Treatment for Trigger Finger by Stage. (PubMed)

Outcomes of Corticosteroid Treatment for Trigger Finger by Stage. Although steroid injection remains a common first-line treatment of trigger finger, clinical experience suggests that not all cases of trigger finger respond the same. The purpose of this study was to use a classification system for trigger finger that is simple and reproducible, and produces clearly definable, clinically relevant cutoff points to determine whether responsiveness to steroid injection correlates to clinical (...) staging.The authors conducted a prospectively collected longitudinal study of trigger finger patients separated into four stages of severity. Each subject received a single injection of 6 mg of dexamethasone acetate. One-month outcomes were analyzed to evaluate the efficacy of steroid injection. These outcomes were further stratified based on baseline characteristics and stage of triggering.A total of 99 digits and 69 subjects were included. Two variables were found to be significant in predicting

2018 Plastic and reconstructive surgery

15. Conservative management of trigger finger: A systematic review.

Conservative management of trigger finger: A systematic review. Systematic review INTRODUCTION: Trigger finger (TF) is a common condition in the hand. The primary purpose of this systematic review was to evaluate the current evidence to determine the efficacy of orthotic management of TF. A secondary purpose was to identify the characteristics of the orthotic management. The tertiary purpose of this study was to ascertain if the studies used a patient-reported outcome to assess gains from (...) authors immobilized a single joint of the affected digit using a variety of orthoses.All authors reported similar results regardless of the joint immobilized; therefore for orthotic management of the TF, we recommend a sole joint be immobilized for 6-10 weeks. In assessing TF, most authors focused on body structures and functions including pain and triggering symptoms, 2 authors used a validated functional outcome measure. In the future therapists should use a validated patient report outcome

2018 Journal of hand therapy : official journal of the American Society of Hand Therapists

16. Efficacy of Corticosteroid Injection for Treatment of Trigger Finger: A Meta-Analysis of Randomized Controlled Trials.

Efficacy of Corticosteroid Injection for Treatment of Trigger Finger: A Meta-Analysis of Randomized Controlled Trials. To determine the efficacy and safety of corticosteroid injection for trigger finger by performing a meta-analysis of all relevant studies.PubMed, EMBASE, and Cochrane Library databases were searched for randomized controlled trials (RCTs) comparing corticosteroid injection with other treatments for trigger finger. Pooled summary estimates for outcomes, including success rate (...) for management of trigger finger, although surgery may be needed for some patients due to recurrence.

2018 Journal of investigative surgery : the official journal of the Academy of Surgical Research

17. Acute Trigger Finger Presenting as an Extensor Lag (PubMed)

Acute Trigger Finger Presenting as an Extensor Lag 29375732 2019 02 26 1937-5719 18 2018 Eplasty Eplasty Acute Trigger Finger Presenting as an Extensor Lag. ic1 Ali Stephen R SR Department of Plastic, Reconstructive and Burns Surgery, North Bristol NHS Trust, Bristol, United Kingdom. Mohamedbahi Hussein H Department of Plastic, Reconstructive and Burns Surgery, North Bristol NHS Trust, Bristol, United Kingdom. eng Case Reports 2018 01 05 United States Eplasty 101316107 1937-5719 extensor lag (...) management stenosing tenosynovitis steroid injection trigger finger 2018 1 30 6 0 2018 1 30 6 0 2018 1 30 6 1 epublish 29375732 PMC5765627 J Hand Surg Am. 1977 Mar;2(2):149-51 845423 J Bone Joint Surg Br. 1948 Aug;30B(3):528-30 18877990 Eplasty. 2014 Sep 01;14:ic31 25328576 J Bone Joint Surg Am. 1973 Jun;55(4):753-7 4283748 J Hand Surg Am. 2006 Jan;31(1):135-46 16443118 J Hand Surg Am. 1994 Jul;19(4):590-4 7963312

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2018 Eplasty

18. Treatment of paediatric trigger finger: a systematic review and treatment algorithm (PubMed)

Treatment of paediatric trigger finger: a systematic review and treatment algorithm Paediatric 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.A 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.Seven articles reporting on 118 trigger fingers were identified. In all, 64 fingers were

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2018 Journal of children's orthopaedics

19. Corticosteroid vs. Amniotic Fluid Injections in Patients With Trigger Finger

Corticosteroid vs. Amniotic Fluid Injections in Patients With Trigger Finger Corticosteroid vs. Amniotic Fluid Injections in Patients With Trigger Finger - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Corticosteroid vs. Amniotic Fluid Injections in Patients With Trigger Finger The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03583151 Recruitment Status : Enrolling by invitation First Posted : July 11, 2018 Last Update Posted : July 11, 2018 Sponsor: J&M Shuler Collaborator: Vivex Biomedical Information

2018 Clinical Trials

20. Comparison of Distraction Methods for Pain Relief of Trigger Finger Injection

Comparison of Distraction Methods for Pain Relief of Trigger Finger Injection Comparison of Distraction Methods for Pain Relief of Trigger Finger Injection - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Comparison of Distraction Methods for Pain Relief of Trigger Finger Injection The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03445780 Recruitment Status : Not yet recruiting First Posted : February 26, 2018 Last Update Posted

2018 Clinical Trials

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