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

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

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