1,611 results match your criteria Trigger Finger


[Trigger finger].

MMW Fortschr Med 2022 Jun;164(12):60-61

Abteilung für Muskuloskelettale Forschung, Klinikum Fichtelgebirge gGmbH - Haus Marktredwitz, Marktredwitz, Deutschland.

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Design and control of intelligent bionic artificial hand based on image recognition.

Technol Health Care 2022 Jun 8. Epub 2022 Jun 8.

Background: At present, the popular control method for intelligent bionic prosthetic hands is EMG control. However, the control accuracy of this method is low. It is a trend to integrate computer vision into the prosthetic hand. Read More

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Prevalence and Risk Factors for Postoperative Complications Following Open A1 Pulley Release for a Trigger Finger or Thumb.

J Hand Surg Am 2022 Jun 16. Epub 2022 Jun 16.

Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Purpose: Although A1 pulley release is an effective treatment to reduce pain and improve hand function, complications may occur. More insight into risk factors for complications is essential to improve patient counseling and potentially target modifiable risk factors. This study aimed to identify factors associated with complications following A1 pulley release. Read More

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Predictive factors and clinical effects of diabetic hand: A prospective study with 1-year follow-up.

J Plast Reconstr Aesthet Surg 2022 May 2. Epub 2022 May 2.

Sapporo Diabetes and Thyroid Clinic, Sapporo, Japan.

Aims: Diabetes mellitus is considered an etiological factor for hand-related conditions that are grouped under the term "diabetic hand" (DH), which includes limited joint mobility, Dupuytren's contracture, carpal tunnel syndrome, and trigger finger. This study aimed to identify predictive factors and the clinical effects of DH development among patients with diabetes.

Patients And Methods: Consecutive Japanese adults with diabetes were prospectively recruited at a single outpatient center. Read More

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Tendons and Tendon Sheaths of the Hand - An Update on MRI.

Rofo 2022 Jun 15. Epub 2022 Jun 15.

Department of Radiology, University Hospital Wuerzburg, Germany.

Background:  The tendons of the hand run in close proximity to each other and within retinacular tunnels adjacent to articular joints, while forming intersections in characteristic locations. The enclosing tendon sheaths are often sites of systemic or infectious inflammation.

Method:  This review article outlines the different entities of tendon and tendon sheath pathology and their manifestation in the hands. Read More

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Flexor Tenosynovitis after Trigger Finger Release: A Case Report.

Authors:
Katsuhisa Tanabe

Plast Reconstr Surg Glob Open 2022 May 13;10(5):e4325. Epub 2022 May 13.

Department of Orthopaedic Surgery, Nishinomiya Municipal Central Hospital, Nishinomiya, Japan.

Tenosynovitis caused by fungi, especially species, is rare. We report a case of an immunocompetent patient with finger flexor tenosynovitis caused by after trigger finger release (TFR). Intratendon sheath triamcinolone injection and subsequent TFR surgery might contribute to the occurrence of tenosynovitis. Read More

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Ulnar Superficial Slip Resection for Resistant Trigger Finger: A Minimally Invasive Technique.

Tech Hand Up Extrem Surg 2022 Jun 1. Epub 2022 Jun 1.

Ramsay Générale de Santé-Capio-Hôpital Privé Paul d'Egine, Champigny-sur-Marne.

Primary trigger finger is a common hand disorder for which nonoperative treatment or release of A1 pulley is usually effective. For resistant or recurrent cases, there are different surgical techniques including partial or complete opening of A2 pulley, reduction tenoplasty, and resection of the ulnar slip of the flexor digitorum superficialis tendon. Here, we present our minimally invasive technique for ulnar superficial slip resection surgery. Read More

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Patterns of Involvement of Digits in Patients with Multiple Trigger Digits: A Retrospective Study.

J Hand Surg Asian Pac Vol 2022 May 27:1-11. Epub 2022 May 27.

Department of Orthopedic Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.

The involvement of digits in patients with multiple trigger digits often displays specific patterns. We aimed to determine the patterns of involvement of digits in multiple trigger digits and their association with patient-related factors and compare them to those of patients with a single trigger digit. All patients with trigger digits treated over a 2-year period were retrospectively examined in June 2020. Read More

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Ultrasound-guided needle release of A1 pulley combined with corticosteroid injection is more effective than ultrasound-guided needle release alone in the treatment of trigger finger.

BMC Surg 2022 Jun 7;22(1):221. Epub 2022 Jun 7.

Department of Ultrasonic, Sichuan Academy of Medical Sciences & Sichuan Provincal People's Hospital, School of Medicine, University of Electronic Scienceand Technology of China, No. 32, West Second Section, First Ring Road, Qingyang District, Chengdu, 610072, Sichuan, China.

Background: The purpose of the present study was to evaluate the clinical effectiveness of ultrasonography-guided needle release of A1 pulley combined with corticosteroid injection by comparing it with ultrasound-guided needle release of the A1 pulley alone.

Methods: A total of 49 patients (55 fingers, thumb) with trigger fingers were included in this retrospective study. Twenty-seven fingers were treated with ultrasound-guided needle release of the A1 pulley alone (monotherapy group), and 28 fingers were treated with needle release of the A1 pulley combined with corticosteroid injection (combination group). Read More

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Symptom Duration and Diabetic Control Influence Success of Steroid Injection in Trigger Finger.

Plast Reconstr Surg 2022 Jun 8. Epub 2022 Jun 8.

Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, Duke University Health System, Durham, NC.

Background: Trigger finger is one of the most common hand pathologies, with a prevalence in 2% of the general population. Conservative treatment with corticosteroid injections at the A1 pulley has been shown to be a cost-effective first line treatment. However, additional patient factors have not fully been described regarding steroid injection efficacy. Read More

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Social Disparities in the Management of Trigger Finger: An Analysis of 31 411 Cases.

Hand (N Y) 2022 Jun 6:15589447221094040. Epub 2022 Jun 6.

The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Background: Cost and compliance are 2 factors that can significantly affect the outcomes of non-operative and operative treatment of trigger finger (TF) and both may be influenced by social factors. The purpose of this study was to investigate socioeconomic disparities in the surgical treatment for TF.

Methods: Adult patients (≥18 years old) were identified using International Classification of Diseases 9 and 10 Clinical Modification diagnostic codes for TF and Current Procedural Terminology (CPT) procedural codes (CPT: 26055) in the New York Statewide Planning and Research Cooperative System database. Read More

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Accuracy and Safety of Non-Image Guided Trigger Finger Injections: A Cadaveric Study.

Hand (N Y) 2022 Jun 3:15589447221093676. Epub 2022 Jun 3.

Baylor College of Medicine, Houston, TX, USA.

Background: Stenosing flexor tenosynovitis is commonly treated by injection of corticosteroids into the flexor tendon sheath. However, there is no consensus in the literature regarding the optimal technique, specifically when not utilizing ultrasound guidance. Here, we present a cadaver study in which 3 common techniques of flexor sheath injection were compared with regard to their accuracy and safety profiles. Read More

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Effects of Sport Stacking on Neuropsychological, Neurobiological, and Brain Function Performances in Patients With Mild Alzheimer's Disease and Mild Cognitive Impairment: A Randomized Controlled Trial.

Front Aging Neurosci 2022 12;14:910261. Epub 2022 May 12.

Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Objective: To investigate the effects of sport stacking on the overall cognition and brain function in patients with mild Alzheimer's disease (AD) and mild cognitive impairment (MCI).

Methods: A single-blind randomized controlled design was performed using sport stacking for 30 min, 5 days/week for 12 weeks. Forty-eight subjects with mild AD or MCI were randomly divided into the sport stacking group (T-mAD = 12, T-MCI = 12) and the active control group (C-mAD = 11, C-MCI = 13). Read More

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Percutaneous Release of Trigger Finger With and Without Steroid Injection A Systematic Review and Meta-Analysis.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):137-144

Purpose: This study sought to determine if concomitant steroid administration with percutaneous release (PRS) of trigger finger leads to better functional outcomes, less postoperative pain, lower rates of trigger recurrence, and lower rates of subsequent open release versus percutaneous release (PR) alone.

Methods: Articles related to trigger finger disorder, percutaneous release of trigger finger, and steroid admin- istration were assessed by two independent reviewers ac- cording to PRISMA guidelines. Data related to satisfaction, pain, disability, recurrence, and need for open release was abstracted from relevant studies. Read More

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The incidence and shape of the digital pulleys: a study of 192 fingers in 48 cadaveric hands.

J Hand Surg Eur Vol 2022 May 25:17531934221101716. Epub 2022 May 25.

Department of Human Anatomy and Embriology, Universidad Complutense Madrid, Madrid, Spain.

We dissected 192 fingers in 48 fresh cadaveric hands (23 right and 25 left hands from 26 female and 22 male donors) and analysed the incidence, location, length and structure of the five annular and three cruciform pulleys. No statistically significant differences were found between left and right or between male and female hands. The A1, A2 and A4 pulleys were present in all fingers, while the incidence of other pulleys varied. Read More

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A Rare Bone Erosion due to Fibroma of the Tendon Sheath.

J Orthop Case Rep 2022 Jan;12(1):14-17

Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan.

Introduction: Fibroma of the tendon sheath (FTS) is a soft-tissue tumor strongly attaches to the tendon sheath. The most common tumor which causes bone erosion is giant cell tumor of the tendon sheath while the erosion is quite rarely caused by FTS.

Case Report: A 50-year-old housewife presented a swelling around the A1 pulley of the right third finger as well as bone erosion and a trigger finger. Read More

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January 2022

Is Low-value Testing Before Low-risk Hand Surgery Associated With Increased Downstream Healthcare Use and Reimbursements? A National Claims Database Analysis.

Clin Orthop Relat Res 2022 May 24. Epub 2022 May 24.

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

Background: Minor hand procedures can often be completed in the office without any laboratory testing. Preoperative screening tests before minor hand procedures are unnecessary and considered low value because they can lead to preventable invasive confirmatory tests and/or procedures. Prior studies have shown that low-value testing before low-risk hand surgery is still common, yet little is known about their downstream effects and associated costs. Read More

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Finger Drop-Dominant Variant of Guillain-Barre Syndrome in a Patient With COVID-19: A Case Report.

J Korean Med Sci 2022 May 23;37(20):e160. Epub 2022 May 23.

Department of Neurology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 that may trigger Guillain-Barre syndrome (GBS) in selected patients. We describe a case of GBS presenting as marked finger extensor weakness in a 73-year-old woman with COVID-19. Her clinical and electrophysiological findings were consistent with a diagnosis of acute motor axonal neuropathy subtype of GBS with prominent finger dropping. Read More

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Office-Based Open Trigger Finger Release Has a Low Complication Rate.

J Hand Surg Glob Online 2022 May 12;4(3):153-155. Epub 2022 Feb 12.

Orthopedic Partners, North Franklin, CT.

Purpose: Open trigger finger release is generally performed in the operating room in an outpatient setting. Its complication rate widely varies between 1% and 43%. Our goal was to determine whether performing this surgery in the clinic is a safe and viable alternative to performing this surgery in the operating room. Read More

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Association between diabetes mellitus and risk of infection after trigger finger release: a systematic review and meta-analysis.

Int Orthop 2022 May 19. Epub 2022 May 19.

Clinical Epidemiology and Clinical Statistic Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Purpose: To investigate the association between diabetes mellitus and risk of infection after trigger finger release.

Methods: Reports of adult trigger finger patients who had undergone trigger finger release that included details of patient diabetic status and post-surgery infections were included in the study. Reports of congenital trigger finger release and incomplete data on either diabetic status or infection after surgery were excluded. Read More

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The effects of adding splint use to corticosteroid injection for the treatment of trigger finger: A randomized controlled trial.

Musculoskeletal Care 2022 May 18. Epub 2022 May 18.

Department of Physical Medicine and Rehabilitation, Shariati Hospital, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Background: Trigger finger is the most common flexor tendinopathy affecting the general population. We evaluated the effects of adding a static metacarpophalangeal joint splint to corticosteroid injection for the management of trigger finger in the short term.

Methods: We carried out a randomized controlled trial with two parallel arms in Department of Physical Medicine and Rehabilitation at a university hospital. Read More

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Responsiveness of PROMIS Instruments for Trigger Digit After Corticosteroid Injection or A1 Pulley Release.

J Hand Surg Am 2022 May 14. Epub 2022 May 14.

Department of Orthopedics and Physical Performance, University of Rochester School of Medicine and Dentistry, Rochester, New York. Electronic address:

Purpose: The purpose of the study was to determine if the patient-reported outcomes measurement information system (PROMIS) is sufficiently sensitive to detect improvement after 2 common treatments of trigger finger: corticosteroid injection or A1 pulley release.

Methods: This retrospective cohort study included 72 patients in the injection group and 51 in the A1 pulley release group. PROMIS physical function (PF), pain interference (PI), and upper extremity (UE) scores were collected at baseline and 6 weeks after injection for the injection group and at baseline, and 1 week, 6 weeks, and 3 months after surgery for A1 pulley release patients. Read More

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Successful treatment of acute worsening complex regional pain syndrome in affected dominant right-hand from secondary pathology of new onset third and fourth digit trigger finger.

Case Reports Plast Surg Hand Surg 2022 27;9(1):123-125. Epub 2022 Apr 27.

Department of Anesthesiology, University of Florida College of Medicine, Jacksonville, FL, USA.

65 year old male with preexisting Complex Regional Pain Syndrome (CRPS) in right dominant hand with sudden onset of right third and fourth digit trigger finger successfully treated with flexor tendon sheath corticosteroid and lidocaine injection resulting in long-term resolution of symptoms without causing widely believed aggravation of CRPS. Read More

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Fibronectin within Sodium Alginate Microcapsules Improved Osteogenic Differentiation of BMMSCs in Dose Dependent Manner by Targeting SP7, OCN, CDK1, ZBTB16, and Twist1 Expression.

Adv Pharm Bull 2022 Jan 7;12(1):109-117. Epub 2021 Aug 7.

Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Insoluble fibronectin as an extracellular matrix (ECM) protein has the potential to promote proliferation, differentiation, and migration of mesenchymal stem cells (MSCs). However, there is limited information about the effects of fibronectin various concentrations on bone marrow-derived MSCs (BMMSCs) function and differentiation. In this experimental study, using a gel injection device, BMMSCs were encapsulated in sodium alginate microcapsules containing 1. Read More

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January 2022

MALAT1 Induces Food Allergy by Promoting Release of IL-6 from Dendritic Cells and Suppressing the Immunomodulatory Function of Tregs.

J Asthma Allergy 2022 29;15:529-544. Epub 2022 Apr 29.

State Key Laboratory of Food Science and Technology, Nanchang University, Nanchang, 330000, People's Republic of China.

Background: Dendritic cells (DCs) comprise a valuable target for immune-modulation in food allergy (FA). Long noncoding RNA (lncRNA), metastasis associated lung adenocarcinoma transcript 1 (MALAT1) has immunomodulatory capacities and may influence the outcome of DC antigen presentation. However, the precise molecular mechanisms underlying the implication of MALAT1 in FA remain unclear. Read More

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Functional interaction between endothelin-1 and ZEB1/YAP signaling regulates cellular plasticity and metastasis in high-grade serous ovarian cancer.

J Exp Clin Cancer Res 2022 Apr 28;41(1):157. Epub 2022 Apr 28.

Preclinical Models and New Therapeutic Agents Unit, IRCCS-Regina Elena National Cancer Institute, Rome, Italy.

Background: Epithelial-to-mesenchymal transition (EMT) encompasses a highly dynamic and complex key process which leads to metastatic progression. In high-grade serous ovarian carcinoma (HG-SOC), endothelin-1 (ET-1)/endothelin A receptor (ETR) signaling promotes EMT driving tumor progression. However, the complex nature of intertwined regulatory circuits activated by ET-1 to trigger the metastatic process is not fully elucidated. Read More

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The Impact of Resident Involvement on Outcomes and Costs in Elective Hand and Upper Extremity Surgery.

J Hand Surg Am 2022 Apr 20. Epub 2022 Apr 20.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA.

Purpose: The purpose of this study was to assess the impact of resident involvement on periprocedural outcomes and costs after common procedures performed at an academic hand surgical practice.

Methods: A retrospective review was performed in all patients undergoing 7 common elective upper extremity procedures between January 2008 and December 2018: carpal tunnel release, distal radius open reduction and internal fixation (ORIF), trigger finger release, thumb carpometacarpal arthroplasty, phalanx closed reduction and percutaneous pinning, cubital tunnel release, and olecranon ORIF. The medical record was reviewed to determine the impact of surgical assistants (resident, fellow, or physician assistant) on periprocedural outcomes, periprocedural costs, and 1-year postoperative outcomes. Read More

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Defining the Digit-Specific Confluence of the A1 Pulley.

J Hand Surg Am 2022 Apr 19. Epub 2022 Apr 19.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: Variations in the description of the flexor pulley system exist, particularly in whether the A1 and A2 pulleys represent discrete or confluent entities. This has potentially important clinical relevance at the time of A1 pulley release for symptomatic trigger finger, given the goal of adequate release without overrelease. The purpose of this study was to determine the relative prevalence of confluent A1 pulleys on a digit-by-digit basis employing 2. Read More

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Trigger thumb preceding flexor pollicis longus tendon rupture after distal radius volar plate fixation: A case report.

Int J Surg Case Rep 2022 May 6;94:107050. Epub 2022 Apr 6.

Orthopedic Hand Surgeon, Community Memorial Health System, United States of America.

Introduction: Flexor pollicis longus (FPL) tendon rupture is a known complication after a distal radius (DR) fracture and subsequent fixation with a volar plate. A commonly accepted theory is the attrition of the flexor tendon by the prominent volar plate or theoretical injury to the tendon during the initial injury. An increasingly rare complication of distal radius open reduction internal fixation (ORIF) with volar plate fixation is stenosing tenosynovitis, more commonly known as trigger finger. Read More

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Exosomal miR-146a-5p and miR-155-5p promote CXCL12/CXCR7-induced metastasis of colorectal cancer by crosstalk with cancer-associated fibroblasts.

Cell Death Dis 2022 Apr 20;13(4):380. Epub 2022 Apr 20.

Department of Pharmacology, School of Basic Medical Sciences, Capital Medical University, Beijing, China.

C-X-C motif chemokine receptor 7 (CXCR7) is a newly discovered atypical chemokine receptor that binds to C-X-C motif chemokine ligand 12 (CXCL12) with higher affinity than CXCR4 and is associated with the metastasis of colorectal cancer (CRC). Cancer-associated fibroblasts (CAFs) have been known to promote tumor progression. However, whether CAFs are involved in CXCR7-mediated metastasis of CRC remains elusive. Read More

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