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

Abstract Introduction 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. Materials and Methods 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. A total of 539 patients were included with a mean follow-up of 47.6 months Results In total, 330/539 (61%) recurrences were registered. Mean time to recurrence was 312 days. Increased risk of recurrence was seen after treatment of the third finger (relative risk [RR]: 1.22; 95% confidence interval [CI]: 1.06–1.39). Several comorbidities were associated with increased risk of recurrence: carpal tunnel syndrome (RR: 1.27; 95% CI: 1.07–1.52), thyroid disease (RR: 1.45; 95% CI: 1.15–1.83), or shoulder diseases (RR: 1.58; 95% CI: 1.36–1.83). Conclusion We found a recurrence rate after primary treatment of CS injection for trigger finger of 61%. Most recurrences happened within 2 years and we found treatment of third finger, carpal tunnel syndrome, shoulder, or thyroid disease to be associated with an increased risk of recurrence of symptoms.

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What Is the Infection Rate of Carpal Tunnel Syndrome and Trigger Finger Release Performed Under Wide-Awake Anesthesia?

Hand ◽

10.1177/1558944721994262 ◽

2021 ◽

pp. 155894472199426

Author(s):

Ignacio Rellán ◽

Pedro Bronenberg Victorica ◽

Surya V. Kohan Fortuna Figueira ◽

Agustín G. Donndorff ◽

Pablo De Carli ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Postoperative Infection ◽

Trigger Finger ◽

Secondary Outcome ◽

Infection Rates ◽

Anesthetic Care ◽

Increased Risk ◽

Tunnel Syndrome ◽

Wide Awake

Background High infection rates have been reported in hand procedures using the wide-awake local anesthesia no tourniquet (WALANT) method, causing some to question the validity of this approach. However, little evidence exists surrounding the direct use of WALANT compared with monitored anesthetic care (MAC). This study was conducted to directly compare the postoperative infection rates of carpal tunnel syndrome (CTS) and trigger finger (TF) release surgeries performed under WALANT and MAC. Methods A retrospective study comparing postoperative infection rates between patients undergoing CTS and TR releases was conducted. Our primary outcome measure was postoperative infection. Our secondary outcome was postoperative complications. Comparative statistics were used to compare means of infection between the groups. Results A total of 526 patients underwent CTS release (255 with WALANT and 271 with MAC), and 129 patients underwent TF release (64 with WALANT and 65 with MAC). Patients undergoing WALANT and MAC were statistically comparable in terms of sex, smoking status, diabetes, and American Society of Anesthesiologists physical status classification. In patients undergoing CTS release, there were no infections with WALANT and 6 infections (2.2%) with MAC. In patients undergoing TF release, there were no infections in either group. There were similar rates of complications in patients undergoing WALANT and MAC for CTS and TF releases. Conclusion There was no increased risk of infection with WALANT compared with MAC in CTS or TR surgeries. These surgeries can be safely conducted with lidocaine and epinephrine without a concern for increased risk of infections or complications.

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Dupuytren's disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus

The Journal Of Hand Surgery ◽

10.1016/s0363-5023(05)80068-1 ◽

1995 ◽

Vol 20 (1) ◽

pp. 109-114 ◽

Cited By ~ 163

Author(s):

Michel Chammas ◽

Philippe Bousquet ◽

Eric Renard ◽

Jean-Luc Poirier ◽

Claude Jaffiol ◽

...

Keyword(s):

Diabetes Mellitus ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Dupuytren’S Disease ◽

Trigger Finger ◽

Dupuytren's Disease ◽

Tunnel Syndrome

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DIRC3-IGFBP5 is a shared genetic risk locus and therapeutic target for carpal tunnel syndrome and trigger finger

10.1101/2021.10.07.21264697 ◽

2021 ◽

Author(s):

Benjamin Patel ◽

Sam O. Kleeman ◽

Drew Neavin ◽

Joseph Powell ◽

Georgios Baskozos ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Genome Wide Association Study ◽

Trigger Finger ◽

Eqtl Analysis ◽

Genome Wide ◽

Healthy Donors ◽

A Genome ◽

Tunnel Syndrome ◽

Shared Genetic

AbstractTrigger finger (TF) and carpal tunnel syndrome (CTS) are two common non-traumatic hand disorders that frequently co-occur. By identifying TF and CTS cases in UK Biobank (UKB), we confirmed a highly significant phenotypic association between the diseases. To investigate the genetic basis for this association we performed a genome-wide association study (GWAS) including 2,908 TF cases and 436,579 European controls in UKB, identifying five independent loci. Colocalization with CTS summary statistics identified a co-localized locus at DIRC3 (lncRNA), which was replicated in FinnGen and fine-mapped to rs62175241. Single-cell and bulk eQTL analysis in fibroblasts from healthy donors (n=79) and tenosynovium samples from CTS patients (n=77) showed that the disease-protective rs62175241 allele was associated with increased DIRC3 and IGFBP5 expression. IGFBP5 is a secreted antagonist of IGF-1 signaling, and elevated IGF-1 levels were associated with CTS and TF in UKB, thereby implicating IGF-1 as a driver of both diseases.

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Illness Perceptions of Patients With First Carpometacarpal Osteoarthritis, Carpal Tunnel Syndrome, Dupuytren Contracture, or Trigger Finger

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2019.10.021 ◽

2020 ◽

Vol 45 (5) ◽

pp. 455.e1-455.e8 ◽

Cited By ~ 1

Author(s):

Mark J.W. van der Oest ◽

Ralph Poelstra ◽

Reinier Feitz ◽

Ana-Maria Vranceanu ◽

Harm P. Slijper ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Illness Perceptions ◽

Trigger Finger ◽

Tunnel Syndrome ◽

Dupuytren Contracture ◽

Carpometacarpal Osteoarthritis

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Idiopathic Carpal Tunnel Syndrome and Trigger Finger: Is There an Association?

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193408096015 ◽

2008 ◽

Vol 34 (1) ◽

pp. 58-59 ◽

Cited By ~ 36

Author(s):

P. KUMAR ◽

I. CHAKRABARTI

Keyword(s):

Rheumatoid Arthritis ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Trigger Finger ◽

Study Group ◽

Population Prevalence ◽

Idiopathic Carpal Tunnel Syndrome ◽

Tunnel Syndrome ◽

A Prospective Study ◽

Hospital Outpatients

Carpal tunnel syndrome (CTS) and trigger finger are known to occur together in association with conditions such as diabetes mellitus, rheumatoid arthritis and hypothyroidism. Although most cases that present to a hand clinic have no obvious predisposing cause, the two conditions often appear together in the same patient. We performed a prospective study of the prevalence of CTS in hospital outpatients presenting with trigger finger. Six hundred and eighty-one patients with CTS, trigger finger or both conditions were recruited prospectively. Diagnosis of both disorders was made on clinical grounds. The study group comprised 551 patients with no obvious predisposing cause. Of 211 patients with trigger finger, 91 (43%) also had CTS. This prevalence is substantially higher than the population prevalence of CTS of approximately 4%. Our data support an association between idiopathic CTS and idiopathic trigger finger and lend support to common pathophysiological factors.

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