1,457 results match your criteria Trigger Finger


Pediatric Trigger Digit Presenting in the Setting of Trauma.

Ann Plast Surg 2021 Jun 10. Epub 2021 Jun 10.

From the Division of Plastic Surgery, Saint Louis University School of Medicine SSM Health Cardinal Glennon Children's Hospital at SLU, St Louis, MO.

Background: Pediatric trigger digit is a relatively rare condition with incompletely understood etiology. In our practice, we noted a series of children presenting with pediatric trigger digit after an associated local trauma to the hand, which has not been previously described. The aim of this study was to analyze the nature of presentation of trigger digits, the accuracy of initial diagnosis, and the impact on treatment strategies used. Read More

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Trigger finger in children with hurler syndrome - distribution pattern and treatment options.

GMS Interdiscip Plast Reconstr Surg DGPW 2021 5;10:Doc04. Epub 2021 May 5.

Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany.

Mucopolysaccharidosis is a rare and congenital autosomal recessive lysosomal storage disorder of glycosaminoglycans. An enzyme defect leads to cell, tissue and organ dysfunction. Carpal tunnel syndrome and trigger finger are the results of mucopolysaccharid deposition. Read More

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Incidence and Treatment Efficacy of Trigger Finger in the Breast Cancer Population on Aromatase Inhibitors.

Hand (N Y) 2021 Jun 2:15589447211017214. Epub 2021 Jun 2.

Medical College of Wisconsin, Milwaukee, USA.

Background: Trigger finger is a common hand complaint of the general population. Limited literature exists implicating a low-estrogen state in patients on aromatase inhibitor (AI) therapy for breast cancer who develop trigger finger. The authors' objective was to determine the incidence and treatment outcomes of this population. Read More

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Workers' Compensation Status Confers a Greater Number of Postoperative Visits After Common Upper Extremity Surgeries.

Cureus 2021 Apr 22;13(4):e14629. Epub 2021 Apr 22.

Division of Hand Surgery, Rothman Orthopaedic Institute, Philadelphia, USA.

Background The impact of Workers' Compensation (WC) status on postoperative healthcare utilization in hand and wrist surgery clinical practice is presently unclear. The purpose of this study was to compare the number of postoperative visits in WC to non-WC patients after common upper extremity surgical procedures. Methodology All patients who underwent one of four common surgical procedures (carpal tunnel release, De Quervain's release, cubital tunnel release, and trigger finger release) between 2016 and 2019 were identified. Read More

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Hand surgeons and amyloidosis specialists warning: transthyretin-associated amyloidosis with bifid median nerve as a cause of bilateral carpal tunnel syndrome. A case report and literature review.

Eur J Orthop Surg Traumatol 2021 May 29. Epub 2021 May 29.

Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.

Introduction: Approximately 75% of patients with carpal tunnel syndrome (CTS) are diagnosed as idiopathic. Despite this, the presence of an underlying cause such as an anatomical variant or a systemic disease must always be suspected, especially in cases of bilateral presentation without an obvious cause, recurrence or complications. The anatomical variant known as the bifid median nerve (BMN) is a very rare abnormality that can occasionally lead to CTS. Read More

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Extracorporeal shock wave therapy in the treatment of trigger finger: A randomized controlled study.

Arch Phys Med Rehabil 2021 May 21. Epub 2021 May 21.

Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei; Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Orthopedics, China Medical University Hospital, Taichung, Taiwan. Electronic address:

Objectives: To determine the efficacy of extracorporeal shock wave therapy (ESWT) and to determine the ideal energy flux density of wide-focused ESWT in the treatment of trigger finger (TF).

Design: Double-blinded, randomized, controlled trial.

Setting: A university hospital PARTICIPANTS: A total of 60 patients with grade II TF according to the Quinnell classification were randomly and evenly allocated to three treatment groups. Read More

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A comparison of the effects of static stretching and the Fascial Distortion Model on hamstring flexibility.

J Back Musculoskelet Rehabil 2021 May 14. Epub 2021 May 14.

Department of Physical Therapy, Kyungnam University, Korea.

Background: Hamstring flexibility plays a significant role in physiotherapy. Various stretching studies have been conducted to increase hamstring flexibility, but the effects of the Fascial Distortion Model (FDM) on hamstring flexibility have not yet been investigated. Moreover, no studies have compared the effects of FDM and static stretching. Read More

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Proportion and distribution of upper extremity musculoskeletal disorders and its association with disability in type 2 diabetes mellitus.

J Hand Ther 2021 Apr 20. Epub 2021 Apr 20.

University of Pittsburgh, School of Health and Rehabilitation Sciences.

Study Design: Cross-sectional INTRODUCTION: Globally, diabetes is a leading cause of disability with an increased prevalence rate in the past three decades. Chronic diabetes has been shown to affect collagenous tissue which often leads to subsequent musculoskeletal complications. Despite increasing prevalence of musculoskeletal disorders, the proportion and distribution of types of upper extremity musculoskeletal disorders resulting in disabilities is poorly understood. Read More

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Perioperative Laboratory Markers as Risk Factors for Surgical Site Infection After Elective Hand Surgery.

J Hand Surg Am 2021 May 17. Epub 2021 May 17.

VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA. Electronic address:

Purpose: The purpose of this study was to test the null hypothesis that there is no association between perioperative laboratory markers (serum albumin and hemoglobin A1c [HbA1c]) and incidence of surgical site infection (SSI) after soft tissue upper extremity surgery.

Methods: We analyzed patient-level data from a large, insurance-based database containing supplemental laboratory results. We identified patients undergoing soft tissue upper extremity surgery (defined as carpal tunnel release, trigger finger release, wrist ganglion excision, cubital tunnel release, Dupuytren partial fasciectomy, or first dorsal compartment release) with serum albumin or HbA1c measurements within 90 days of surgery. Read More

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Unplanned Return to the Operating Room in Upper-Extremity Surgery: Incidence and Reason for Return.

J Hand Surg Am 2021 May 13. Epub 2021 May 13.

Department of Orthopedic Surgery, Rothman Orthopedic Institute, Thomas Jefferson University, Philadelphia, PA.

Purpose: Complications after upper-extremity surgery are generally infrequent. The purpose of this study was to assess the rate of early unplanned return to the operating room (URTO) within 3 months after surgery) in upper-extremity surgical procedures. Our hypotheses were that the rate of URTO in upper-extremity surgery would be low and that surgically treated fractures would be at greatest risk for complications. Read More

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MRI-visible perivascular space volumes, sleep duration and daytime dysfunction in adults with cerebrovascular disease.

Sleep Med 2021 Apr 19;83:83-88. Epub 2021 Apr 19.

Hurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada; Department of Medicine (Neurology), Sunnybrook Health Sciences Centre and University of Toronto, ON, Canada.

Objectives: Recent studies suggest that interindividual genetic differences in glial-dependent CSF flow through the brain parenchyma, known as glymphatic flow, may trigger compensatory changes in human sleep physiology. In animal models, brain perivascular spaces are a critical conduit for glymphatic flow. We tested the hypothesis that MRI-visible PVS volumes, a putative marker of perivascular dysfunction, are associated with compensatory differences in real-world human sleep behavior. Read More

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Non-Traumatic Snapping Tendon on the Dorsal Aspect of the Thumb: A Diagnostic Challenge.

Cureus 2021 Apr 11;13(4):e14417. Epub 2021 Apr 11.

Otolaryngology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

A snapping tendon on the dorsal aspect of the thumb is a rare condition as opposed to the common triggering on the volar aspect of the thumb. This condition is known as triggering of the extensor pollicis longus (EPL). A 21-year-old female presented with a clicking or snapping sensation that was felt on the dorsum of her thumb when it is extended. Read More

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Diagnosis and Treatment of Trigger Finger in Brazil - A Cross-Sectional Study.

Rev Bras Ortop (Sao Paulo) 2021 Apr 29;56(2):181-191. Epub 2020 Oct 29.

Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.

 The present paper aims to evaluate the therapeutic planning for trigger finger by Brazilian orthopedists.  This is a cross-sectional study with a population composed of participants from the 2018 Brazilian Congress on Orthopedics and Traumatology (CBOT-2018, in the Portuguese acronym), who answered a questionnaire about the conduct adopted for trigger finger diagnosis and treatment.  A total of 243 participants were analyzed, with an average age of 37. Read More

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Evaluation of the first annular pulley stretch effect under isometric contraction of the flexor tendon in healthy volunteers and trigger finger patients using ultrasonography.

BMC Musculoskelet Disord 2021 May 6;22(1):421. Epub 2021 May 6.

Department of Orthopaedic Surgery, The University of Tokyo Hospital, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Background: Isometric exercises for a flexed finger have been reported to be effective for treating trigger finger as the flexor tendon widens the space under the first annular (A1) pulley towards the palmar destination during the exercise. This study aimed to evaluate the structural changes during the A1 pulley stretch in healthy volunteers and patients with trigger finger using ultrasonography.

Methods: We enrolled 25 male and 14 female patients (39 middle fingers). Read More

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Canonical representations of fingers and dots trigger an automatic activation of number semantics: an EEG study on 10-year-old children.

Neuropsychologia 2021 Jul 27;157:107874. Epub 2021 Apr 27.

Institute of Psychology (IPSY) and Institute of Neuroscience (IoNS), Université Catholique de Louvain, Place Cardinal Mercier 10, 1348, Louvain-la-Neuve, Belgium. Electronic address:

Over the course of development, children must learn to map a non-symbolic representation of magnitude to a more precise symbolic system. There is solid evidence that finger and dot representations can facilitate or even predict the acquisition of this mapping skill. While several behavioral studies demonstrated that canonical representations of fingers and dots automatically activate number semantics, no study so far has investigated their cerebral basis. Read More

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Comparing the Corticosteroid Injection and A1 Pulley Percutaneous Release in Treatment of Trigger Finger: A Clinical Trial.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):207-213

Department of Orthopedic Surgery, Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Primary treatment of trigger digits is conservative including stretching, night splinting and combination of heat and ice. When these methods fail, invasive methods such as corticosteroid injection, percutaneous release and open surgery are used. The purpose of this study is to compare the efficacy of two outpatient methods of percutaneous trigger finger release (PTFR) and corticosteroid injection (CI). Read More

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A Clinical Approach to Diagnosing Trigger Wrist.

Indian J Orthop 2021 Apr 5;55(2):492-497. Epub 2020 Sep 5.

Department of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.

Background: Trigger wrist is a relatively unusual condition, produced by wrist or finger motion. The various causes of trigger wrist can originate from flexor tendon, extensor tendon, bones, or tumour. A proper clinical approach is required to diagnose and manage patients with trigger wrist. Read More

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Bowling: Occupational Hazards of the Wrist and Hand in Elite Tenpin Bowlers.

Malays Orthop J 2021 Mar;15(1):113-118

Department of Orthopaedic Surgery, University of Malaya, Kuala Lumpur, Malaysia.

Introduction: Bowling is an immensely popular, but scarcely researched sport associated with overuse injuries in its participants. The purpose of this study was to investigate and report on the incidence of common upper extremity complaints in elite bowling athletes.

Materials And Methods: All Malaysian national level bowlers (n=39) were evaluated via questionnaire on their upper limb symptoms. Read More

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Acute Pain Predictors of Remote Postoperative Pain Resolution After Hand Surgery.

Pain Ther 2021 Apr 18. Epub 2021 Apr 18.

Division of Hand and Plastic Surgery, Department of Orthopaedic Surgery, Stanford University, Stanford, CA, USA.

Introduction: Chronic postsurgical pain (CPSP) is a global issue with high prevalence. This study compared acute pain descriptors among patients undergoing carpal tunnel release (CTR) or trigger finger release (TFR). We hypothesized worst pain intensity on postoperative day (POD) 10 would be best to predict the time to pain resolution. Read More

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Factors Associated with Increased Risk of Recurrence following Treatment of Trigger Finger with Corticosteroid Injection.

J Hand Microsurg 2021 Apr 29;13(2):109-113. Epub 2020 Oct 29.

Department of Orthopedics, Herlev-Gentofte University Hospital of Copenhagen, Copenhagen, Denmark.

 The aim of the study was to estimate recurrence rates, time to recurrence, and predisposing factors for recurrence of trigger finger when treated with corticosteroid (CS) injection as primary treatment.  In a retrospective chart review, we identified primary trigger fingers treated with CS injection as primary treatment. Affected hand and finger, recurrence, time to recurrence, duration of symptoms, secondary treatment type, and comorbidities were recorded. Read More

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Comparing Minor Hand Procedures Performed with or without the Use of a Tourniquet: A Randomized Controlled Trial.

Plast Reconstr Surg Glob Open 2021 Apr 8;9(4):e3513. Epub 2021 Apr 8.

Division of Plastic and Reconstructive Surgery, Université de Montréal, Montréal, Québec, Canada.

Background: Carpal tunnel syndrome and trigger finger are two of the most common conditions treated by the hand surgeon. During these procedures, a tourniquet is often used to minimize bleeding and improve visualization of the operative field. However, it may be associated with pain and discomfort. Read More

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Three concomitant locked finger metacarpophalangeal joints caused by degenerative metacarpal heads: Case report.

Hand Surg Rehabil 2021 Apr 19. Epub 2021 Apr 19.

Department of Orthopedic Surgery, Pontchaillou University Hospital, 2 Rue Henri Le Guilloux, 35033, Rennes, France. Electronic address:

A locked metacarpophalangeal joint (LMCP) is a rare condition often confused with trigger finger. Its causes are numerous and typically divided into two broad categories: acquired LMCP in younger patients, and degenerative LMCP in older patients. This pathology usually affects only one MCP. Read More

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Non-steroidal anti-inflammatory drugs (NSAIDs) for trigger finger.

Cochrane Database Syst Rev 2021 04 14;4:CD012789. Epub 2021 Apr 14.

Cochrane Singapore, Singapore, Singapore.

Background: Trigger finger is a common hand condition that occurs when movement of a finger flexor tendon through the first annular (A1) pulley is impaired by degeneration, inflammation, and swelling. This causes pain and restricted movement of the affected finger. Non-surgical treatment options include activity modification, oral and topical non-steroidal anti-inflammatory drugs (NSAIDs), splinting, and local injections with anti-inflammatory drugs. Read More

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Trigger finger is associated with risk of incident cardiovascular disease in individuals with type 2 diabetes: a retrospective cohort study.

BMJ Open Diabetes Res Care 2021 Apr;9(1)

Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan

Introduction: Trigger finger is one of the complications affecting the upper extremity in patients with diabetes. Diabetes is also a well-known risk factor that predisposes individuals to cardiovascular diseases (CVDs). This retrospective cohort study aimed to establish the association between trigger finger and the patients with incident CVD with type 2 diabetes. Read More

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The Use of Point of Care Ultrasound in Hand Surgery.

J Hand Surg Am 2021 Apr 5. Epub 2021 Apr 5.

Department of Plastic and Reconstructive Surgery, Mater Misericordiae University Hospital, Dublin, Ireland; School of Medicine, University College Dublin, Dublin, Ireland. Electronic address:

Point of care ultrasound (POCUS) is the use of ultrasound (US) imaging technology by non-sonographer, non-radiologist treating clinicians. Handheld US systems are increasing in popularity and becoming widely available and easily accessible to hand surgeons in clinical practice. Adapting POCUS into the repertoire of the hand surgeon can aid in the diagnosis of many common hand surgery presentations and shorten operative times. Read More

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Early postoperative dressing removal in hand surgery: Novel concepts for individualized surgical dressing management.

Hand Surg Rehabil 2021 Apr 6. Epub 2021 Apr 6.

Tel Aviv Medical Center, Department of Orthopedic Surgery, Affiliated with the Sackler Faculty of Medicine and Tel Aviv University, Weizmann St. 6, 6423906 Tel Aviv-Yafo, Israel.

Postoperative dressing protocols after clean surgery without implant vary widely. The purpose of this study was to elucidate whether early postoperative dressing removal is a valid option, as compared to untouched dressing or twice-weekly dressing change approach. A prospective randomized study was conducted on patients who underwent carpal tunnel release (CTR) or trigger finger release (TFR) between January and November 2020. Read More

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Closed Traumatic A2 Through A4 Pulley Rupture and Flexor Digitorum Superficialis Avulsion Treated With Reconstruction.

Ochsner J 2021 ;21(1):99-103

Department of Orthopedic Surgery, Ochsner Clinic Foundation, New Orleans, LA.

Multiple closed spontaneous pulley ruptures are rare injuries and require surgical reconstruction to prevent functional deficits. Pulley rupture combined with avulsion of the flexor digitorum superficialis (FDS) tendon is an even more uncommon occurrence. We describe a closed traumatic annular 2 (A2) through annular 4 (A4) pulley rupture with avulsion of the FDS tendon. Read More

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January 2021

Dual Effect of Taxifolin on ZEB2 Cancer Signaling in HepG2 Cells.

Molecules 2021 Mar 9;26(5). Epub 2021 Mar 9.

Department of Medical Chemistry and Biochemistry, Faculty of Medicine and Dentistry, Palacký University, 77515 Olomouc, Czech Republic.

Polyphenols, secondary metabolites of plants, exhibit different anti-cancer and cytoprotective properties such as anti-radical, anti-angiogenic, anti-inflammation, or cardioprotective. Some of these activities could be linked to modulation of miRNAs expression. MiRNAs play an important role in posttranscriptional regulation of their target genes that could be important within cell signalling or preservation of cell homeostasis, e. Read More

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The efficacy of manipulation as a treatment for myofascial pelvic pain.

Int Urol Nephrol 2021 Jul 2;53(7):1339-1343. Epub 2021 Apr 2.

Department of Gynecology, Wenzhou Third Clinical Institute Affiliated to Wen Zhou Medical University, Wenzhou People's Hospital, No. 57 of Canghou Street, Lucheng, Wenzhou, 325000, Zhejiang, China.

Objective: To evaluate the effect of myofascial manipulation by observing the changes in pelvic floor myofascial scores and electromyography (EMG) data before and after treatment.

Methods: A total of 106 patients with myofascial pelvic pain (MFPP) were enrolled in a treatment group, and 50 healthy women were enrolled in a control group. The changes in the pelvic floor EMG data in the two groups were monitored by using Myo Trac before and after treatment. Read More

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