RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0044-1787130
Preferencias para el tratamiento del dedo en gatillo del adulto: Censo a los cirujanos de mano colombianos agremiados
Artikel in mehreren Sprachen: español | English
Resumen
Introducción No existe una guía para el abordaje del dedo en gatillo. Este estudio caracteriza las perspectivas de los cirujanos de mano en Colombia frente al abordaje de esta enfermedad, pues se estima que sus preferencias constituyen actualmente un factor determinante en el manejo ofrecido.
Materiales y Métodos Estudio de corte transversal que incluyó el censo de cirujanos de mano agremiados durante el 2021 en Colombia. Se creó una encuesta junto a un grupo focal de cinco cirujanos la cual se distribuyó para su diligenciamiento en REDCap.
Resultados La tasa de respuesta fue de 81%. Múltiples factores clínicos son considerados para el diagnóstico. El manejo inicial predilecto es solamente una infiltración con corticoesteroides, excepto en pacientes diabéticos o con bloqueo del dedo, en quienes se prefiere operar, siendo la liberación abierta la técnica más popular. Se considera remisión de la enfermedad al cumplirse seis meses sin síntomas, siendo la satisfacción del paciente el desenlace más relevante.
Conclusión Las perspectivas de los cirujanos de mano divergen, así como los hallazgos en la literatura. Este estudio evidencia la necesidad de generar consensos frente al abordaje, teniendo en cuenta las características individuales relevantes de los pacientes y la experiencia de los cirujanos.
Palabras clave
trastorno del dedo en gatillo - encuestas y cuestionarios - cirujanos - testimonio de experto - deformidades adquiridas de la manoPublikationsverlauf
Eingereicht: 28. Mai 2023
Angenommen: 01. April 2024
Artikel online veröffentlicht:
07. Juni 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/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
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