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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2024; 52(01): e16-e24
DOI: 10.1055/s-0044-1787130
Artículo Original | Original Article

Preferences for the Treatment of Adult Trigger Finger: Census of Affiliated Colombian Hand Surgeons

Article in several languages: español | English
Mónica Botero Bermúdez 
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
,
Luis Alejandro García González 
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
,
Francisco Javier Aguilar Sierra
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
,
María Cristina Rodríguez Ricardo 
2   Departamento de Ortopedia y Traumatología, Hospital Serena del Mar, Cartagena, Colombia
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Abstract

Introduction Currently, there is no guideline to address adult trigger finger. The present study aims to characterize the perspectives of hand surgeons in Colombia regarding the approach to this condition, as it is estimated that their preferences currently constitute a determining factor in the management provided.

Materials and Methods A cross-sectional study that included the census of affiliated hand surgeons during 2021 in Colombia. A survey was created in conjunction with a focus group of five hand surgeons, which was distributed for completion using REDCap.

Results The response rate was of 81%. Multiple clinical factors are considered for diagnosis. The preferred initial management is a single corticosteroid infiltration, except in diabetic patients or those with a finger fixed in flexion, in whom surgery is preferred, with open release being the most popular technique. Remission is considered to occur if the symptoms are absent for at least six months, and patient satisfaction is considered the most relevant outcome to measure.

Conclusion The perspectives of the surgeons are divergent, and so are the findings in the literature. The present study highlights the need to establish a consensus regarding the approach to trigger finger, considering the relevant individual characteristics of patients and the experience of the surgeons.

Keywords

trigger finger disorder - surveys and questionnaires - surgeons - expert testimony - acquired hand deformities

Supplementary Material



Publication History

Received: 28 May 2023

Accepted: 01 April 2024

Article published online:
07 June 2024

© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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