Trigger finger - Poor outcome of surgery associated with younger age, pain, psoriatic arthritis and atopic disease.

Autor:	Holm B; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden., Rönnelid J; Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden., Baecklund E; Department of Medical Sciences, Uppsala University, Uppsala, Sweden., Wiig M; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Jazyk:	angličtina
Zdroj:	Upsala journal of medical sciences [Ups J Med Sci] 2024 Sep 12; Vol. 129. Date of Electronic Publication: 2024 Sep 12 (Print Publication: 2024).
DOI:	10.48101/ujms.v129.10361
Abstrakt:	Background: Trigger finger, or stenosing tendovaginitis, is one of the most common causes of hand disability, where a finger or thumb painfully snaps and locks due to a tendon-sheath size mismatch at the A1 pulley. The exact aetiology of trigger finger is unknown, though it is associated with factors like diabetes, rheumatic disease and carpal tunnel syndrome. The main purpose of this prospective study was to explore clinical characteristics and comorbidities in a cohort of 139 patients who underwent surgery for trigger finger and find factors of importance for the outcome 1 year postoperatively. Methods: Pain, range of motion, hand function evaluated by the Disabilities of the Arm Shoulder and Hand questionnaire as well as Quinnell grade of triggering were examined preoperatively. Symptom duration, working status, medical history and comorbidities at baseline were also noted. Further, range of motion was evaluated 3 months after surgery, pain and hand function were evaluated 3 and 12 months after surgery. An outcome scale with three levels was defined. The development of any new comorbidities was monitored during an extended postoperative observation period, with a mean duration of 70 months (range: 56-88 months). Results: Poor outcome was strongly associated with younger age ( P = 0.0009), a high level of preoperative pain in the operated hand ( P = 0.0027), psoriatic arthritis ( P = 0.021) and atopic disease ( P = 0.028; odds ratio [OR]: 3.87, 95% confidence interval [CI]: 1.15-13.04). A low range of motion preoperatively did not affect the outcome. Carpal tunnel syndrome was the most common comorbidity but did not affect the outcome. A good preoperative range of motion, good hand function and less pain were associated with better outcomes. Conclusion: Younger age, a high level of preoperative pain, psoriatic arthritis and atopic disease were factors associated with a worse outcome of trigger finger surgery. Pain and disability decreased 3 months postoperatively and continued to decrease between 3 and 12 months. Competing Interests: The authors report no conflict of interest. (© 2024 The Author(s). Published by Upsala Medical Society.)
Databáze:	MEDLINE
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