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Trigger digit: the needle or the knife?
E Panayotopoulos1, A P Fortis, A Armoni
1Orthopaedic Department, Patras University, Greece.
Journal of Hand Surgery (Edinburgh, Scotland)
|April 1, 1992
Summary
Conservative treatment, including injections, effectively resolved trigger digits in most patients. This approach significantly reduced pain and restored function, leading to high patient satisfaction and avoiding further interventions.
Area of Science:
- Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Trigger digits, also known as stenosing tenosynovitis, cause pain and limited mobility.
- Conservative management is often the first line of treatment for trigger digits.
Purpose of the Study:
- To evaluate the efficacy of conservative treatment for trigger digits.
- To assess outcomes such as pain resolution, functional improvement, and patient satisfaction.
Main Methods:
- Retrospective review of 30 patients with trigger digits undergoing conservative treatment.
- Follow-up averaged 22.3 months to assess treatment outcomes.
- Treatment involved injections, with some patients requiring a second dose.
Main Results:
- Pain disappeared in 86.6% of patients; others noted significant improvement.
- Digit locking resolved in 76.6% of patients, with most experiencing immediate relief.
- Only three patients required a second injection, and all patients reported satisfaction.
Conclusions:
- Conservative treatment, particularly injections, is highly effective for trigger digits.
- This approach offers significant pain relief and functional recovery.
- High patient satisfaction rates suggest it is a preferred treatment option.