Preferencias para el tratamiento del dedo en gatillo del adulto: Censo a los cirujanos de mano colombianos agremiados

Mónica Botero Bermúdez; Luis Alejandro García González; Francisco Javier Aguilar Sierra; María Cristina Rodríguez Ricardo

doi:10.1055/s-0044-1787130

Revista Iberoamericana de Cirugía de la Mano, Inhaltsverzeichnis

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

Artikel in mehreren Sprachen: español | English

Mónica Botero Bermúdez

¹Departamento de Ortopedia y Traumatología, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia

,

Luis Alejandro García González

¹Departamento de Ortopedia y Traumatología, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia

,

Francisco Javier Aguilar Sierra

¹Departamento de Ortopedia y Traumatología, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia

,

María Cristina Rodríguez Ricardo

²Departamento de Ortopedia y Traumatología, Hospital Serena del Mar, Cartagena, Colombia

› Institutsangaben

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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Referenzen

Referencias
1 Lunsford D, Valdes K, Hengy S. Conservative management of trigger finger: A systematic review. J Hand Ther 2019; 32 (02) 212-221
2 Moore JS. Flexor tendon entrapment of the digits (trigger finger and trigger thumb). J Occup Environ Med 2000; 42 (05) 526-545
3 Sbernardori MC, Bandiera P. Histopathology of the A1 pulley in adult trigger fingers. J Hand Surg Eur Vol 2007; 32 (05) 556-559
4 Peters-Veluthamaningal C, van der Windt DA, Winters JC, Meyboom-de Jong B. Corticosteroid injection for trigger finger in adults. Cochrane Database Syst Rev 2009; (01) CD005617
5 Kameyama M, Funae O, Meguro S, Atsumi Y. HbA1c values determine the outcome of intrasheath injection of triamcinolone for diabetic flexor tenosynovitis. Diabetes Care 2006; 29 (11) 2512-2514
6 Fiorini HJ, Tamaoki MJ, Lenza M, Gomes Dos Santos JB, Faloppa F, Belloti JC. Surgery for trigger finger. Cochrane Database Syst Rev 2018; 2 (02) CD009860
7 Calandruccio JH. Carpal tunnel syndrome, ulnar tunnel syndrome and stenosing tenosynovitis. In: Campbell's operative orthopaedics. 13th ed.. Philadelphia: Elsevier; 2017: 3750-3772
8 Kozin SH. Deformities of the thumb. In: Green's operative hand surgery. Seventh Ed.. Philadelphia: Elsevier; 2011: 1289-12327
9 Huisstede BM, Hoogvliet P, Coert JH, Fridén J. European HANDGUIDE Group. Multidisciplinary consensus guideline for managing trigger finger: results from the European HANDGUIDE Study. Phys Ther 2014; 94 (10) 1421-1433
10 Ma S, Wang C, Li J, Zhang Z, Yu Y, Lv F. Efficacy of Corticosteroid Injection for Treatment of Trigger Finger: A Meta-Analysis of Randomized Controlled Trials. J Invest Surg 2019; 32 (05) 433-441
11 Salim N, Abdullah S, Sapuan J, Haflah NHM. Outcome of corticosteroid injection versus physiotherapy in the treatment of mild trigger fingers. J Hand Surg Eur Vol 2012; 37 (01) 27-34
12 Shen PC, Chou SH, Lu CC. et al. Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis. Clin Rehabil 2020; 34 (09) 1217-1229
13 Billig JI, Speth KA, Nasser JS, Wang L, Chung KC. Assessment of Surgeon Variation in Adherence to Evidence-Based Recommendations for Treatment of Trigger Finger. JAMA Netw Open 2019; 2 (10) e1912960
14 Pruzansky JS, Goljan P, Lundmark DP, Shin EK, Jacoby SM, Osterman AL. Treatment preferences for trigger digit by members of the American Association for Hand Surgery. Hand (N Y) 2014; 9 (04) 529-533
15 Atthakomol P, Manosroi W, Sathiraleela K. et al. Prognostic factors related to recurrence of trigger finger after open surgical release in adults. J Plast Reconstr Aesthet Surg 2023; 83: 352-357
16 Sato J, Ishii Y, Noguchi H. Predictive factors associated with proximal interphalangeal joint contracture in trigger finger. J Hand Surg Eur Vol 2020; 45 (10) 1106-1108
17 Huisstede BM, Gladdines S, Randsdorp MS, Koes BW. Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review. Arch Phys Med Rehabil 2018; 99 (08) 1635-1649.e21
18 Döring ACD, Hageman MGJS, Mulder FJ, Guitton TG, Ring D. Science of Variation Group, Science of Variation Group. Trigger finger: assessment of surgeon and patient preferences and priorities for decision making. J Hand Surg Am 2014; 39 (11) 2208-13.e2
19 Drijkoningen T, van Berckel M, Becker SJE, Ring DC, Mudgal CS. Night splinting for idiopathic trigger digits. Hand (N Y) 2018; 13 (05) 558-562
20 Colbourn J, Heath N, Manary S, Pacifico D. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther 2008; 21 (04) 336-343
21 Tarbhai K, Hannah S, von Schroeder HP. Trigger finger treatment: a comparison of 2 splint designs. J Hand Surg Am 2012; 37 (02) 243-249 , 249.e1
22 Langer D, Luria S, Maeir A, Erez A. Occupation-based assessments and treatments of trigger finger: a survey of occupational therapists from Israel and the United States. Occup Ther Int 2014; 21 (04) 143-155
23 Amirfeyz R, McNinch R, Watts A. et al. Evidence-based management of adult trigger digits. J Hand Surg Eur Vol 2017; 42 (05) 473-480
24 Rozental TD, Zurakowski D, Blazar PE. Trigger finger: prognostic indicators of recurrence following corticosteroid injection. J Bone Joint Surg Am 2008; 90 (08) 1665-1672
25 Ring D, Lozano-Calderón S, Shin R, Bastian P, Mudgal C, Jupiter J. A prospective randomized controlled trial of injection of dexamethasone versus triamcinolone for idiopathic trigger finger. J Hand Surg Am 2008; 33 (04) 516-522 , discussion 523–524
26 Luther GA, Murthy P, Blazar PE. Cost of Immediate Surgery Versus Non-operative Treatment for Trigger Finger in Diabetic Patients. J Hand Surg Am 2016; 41 (11) 1056-1063
27 Baumgarten KM, Gerlach D, Boyer MI. Corticosteroid injection in diabetic patients with trigger finger. A prospective, randomized, controlled double-blinded study. J Bone Joint Surg Am 2007; 89 (12) 2604-2611

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