Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(04): 1068-1073
DOI: 10.4103/ajns.AJNS_149_19
Review Article

Occurrence of trigger finger following carpal tunnel release

Masatoshi Yunoki
Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa
,
Ryoji Imoto
Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa
,
Nobuhiko Kawai
Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa
,
Atsushi Matsumoto
Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa
,
Koji Hirashita
Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa
,
Kimihiro Yoshino
Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Surgical treatment of carpal tunnel syndrome (CTS) was recently started in our department, and we noticed that the development of trigger finger (TF), with which neurosurgeons are generally unfamiliar, is not rare after such treatment. We summarized the clinical and pathogenetic aspects of TF and retrospectively analyzed the medical records of all 39 patients who underwent CTR in our department to investigate the occurrence of TF. In 39 patients with CTS, 46 surgical interventions were performed in our department. All surgical procedures were carried out by open release of the transverse carpal ligament under local anesthesia infiltration, but the distal forearm fascia was not released. The mean postoperative follow-up period was 21.1 ± 16.8 months. TF after CTR occurred in nine hands of eight patients (9 of 46 hands, 19.6%). The mean interval between CTR and TF onset was 5.3 ± 2.8 months. TF after surgical treatment of CTS is not rare; therefore, surgeons who treat CTS should understand the clinical features of TF and carefully assess affected patients, particulary at presentation and within 6 months postoperatively.

Key-words:

Carpal tunnel syndrome - surgery - trigger finger

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. 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 Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Ghasemi-Rad M, Nosair E, Vegh A, Mohammadi A, Akkad A, Lesha E, et al. A handy review of carpal tunnel syndrome: From anatomy to diagnosis and treatment. World J Radiol 2014;6:284-300.
  • 2 Ibrahim I, Khan WS, Goddard N, Smitham P. Carpal tunnel syndrome: A review of the recent literature. Open Orthop J 2012;6:69-76.
  • 3 Yunoki M, Kanda T, Suzuki K, Uneda A, Hirashita K, Yoshino K, et al. Importance of recognizing carpal tunnel syndrome for neurosurgeons: A review. Neurol Med Chir (Tokyo) 2017;57:172-83.
  • 4 Kumar P, Chakrabarti I. Idiopathic carpal tunnel syndrome and trigger finger: Is there an association? J Hand Surg Eur Vol 2009;34:58-9.
  • 5 Garti A, Velan GJ, Moshe W, Hendel D. Increased median nerve latency at the carpal tunnel of patients with “trigger finger”: Comparison of 62 patients and 13 controls. Acta Orthop Scand 2001;72:279-81.
  • 6 Rottgers SA, Lewis D, Wollstein RA. Concomitant presentation of carpal tunnel syndrome and trigger finger. J Brachial Plex Peripher Nerve Inj 2009;4:13.
  • 7 Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: Etiology, evaluation, and treatment. Curr Rev Musculoskelet Med 2008;1:92-6.
  • 8 Moore JS. Flexor tendon entrapment of the digits (trigger finger and trigger thumb). J Occup Environ Med 2000;42:526-45.
  • 9 Saldana MJ. Trigger digits: Diagnosis and treatment. J Am Acad Orthop Surg 2001;9:246-52.
  • 10 Dardas AZ, VandenBerg J, Shen T, Gelberman RH, Calfee RP. Long-term effectiveness of repeat corticosteroid injections for trigger finger. J Hand Surg Am 2017;42:227-35.
  • 11 Stahl S, Kanter Y, Karnielli E. Outcome of trigger finger treatment in diabetes. J Diabetes Complications 1997;11:287-90.
  • 12 Uotani K, Kawata A, Nagao M, Mizutani T, Hayashi H. Trigger finger as an initial manifestation of familial amyloid polyneuropathy in a patient with ile107Val TTR. Intern Med 2007;46:501-4.
  • 13 Burman M. Stenosing tendovaginitis of the dorsal and volar compartments of the wrist. AMA Arch Surg 1952;65:752-62.
  • 14 Ettema AM, Amadio PC, Zhao C, Wold LE, O'Byrne MM, Moran SL, et al. Changes in the functional structure of the tenosynovium in idiopathic carpal tunnel syndrome: A scanning electron microscope study. Plast Reconstr Surg 2006;118:1413-22.
  • 15 Sampson SP, Badalamente MA, Hurst LC, Seidman J. Pathobiology of the human A1 pulley in trigger finger. J Hand Surg Am 1991;16:714-21.
  • 16 Acar MA, Kütahya H, Güleç A, Elmadaǧ M, Karalezli N, Ogun TC, et al. Triggering of the digits after carpal tunnel surgery. Ann Plast Surg 2015;75:393-7.
  • 17 El-Hadidi S. Is there a relation between carpal tunnel syndrome and trigger finger? BMC Proc 2015;9 Suppl 3:A65.
  • 18 Goshtasby PH, Wheeler DR, Moy OJ. Risk factors for trigger finger occurrence after carpal tunnel release. Hand Surg 2010;15:81-7.
  • 19 Grandizio LC, Beck JD, Rutter MR, Graham J, Klena JC. The incidence of trigger digit after carpal tunnel release in diabetic and nondiabetic patients. J Hand Surg Am 2014;39:280-5.
  • 20 Harada K, Nakashima H, Teramoto K, Nagai T, Hoshino S, Yonemitsu H, et al. Trigger digits-associated carpal tunnel syndrome: Relationship between carpal tunnel release and trigger digits. Hand Surg 2005;10:205-8.
  • 21 Hayashi M, Uchiyama S, Toriumi H, Nakagawa H, Kamimura M, Miyasaka T, et al. Carpal tunnel syndrome and development of trigger digit. J Clin Neurosci 2005;12:39-41.
  • 22 Hombal JW, Owen R. Carpal tunnel decompression and trigger digits. Hand 1970;2:192-6.
  • 23 Kim JH, Gong HS, Lee HJ, Lee YH, Rhee SH, Baek GH. Pre- and post-operative comorbidities in idiopathic carpal tunnel syndrome: Cervical arthritis, basal joint arthritis of the thumb, and trigger digit. J Hand Surg Eur Vol 2013;38:50-6.
  • 24 King BA, Stern PJ, Kiefhaber TR. The incidence of trigger finger or de Quervain's tendinitis after carpal tunnel release. J Hand Surg Eur Vol 2013;38:82-3.
  • 25 Lin FY, Wu CI, Cheng HT. Coincidence or complication? A systematic review of trigger digit after carpal tunnel release. J Plast Surg Hand Surg 2018;52:67-73.
  • 26 Zhang D, Collins J, Earp BE, Blazar P. Relationship of carpal tunnel release and new onset trigger finger. J Hand Surg Am 2019;44:28-34.
  • 27 Karalezli N, Kütahya H, Güleç A, Toker S, Karabörk H, Ogun TC, et al. Transverse carpal ligament and forearm fascia release for the treatment of carpal tunnel syndrome change the entrance angle of flexor tendons to the A1 pulley: The relationship between carpal tunnel surgery and trigger finger occurrence. ScientificWorldJournal 2013;2013:630617.
  • 28 Chammas M, Bousquet P, Renard E, Poirier JL, Jaffiol C, Allieu Y, et al. Dupuytren's disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus. J Hand Surg Am 1995;20:109-14.