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Risk factors for return with a second trigger digit
S Ferree1, V Neuhaus1, S J E Becker1
1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA.
The Journal of Hand Surgery, European Volume
|November 29, 2012
Summary
Approximately 22% of patients with trigger digits develop a second one. Those with carpal tunnel syndrome or type 1 diabetes have double the risk of developing a second trigger digit.
Area of Science:
- Orthopedics
- Hand Surgery
- Diabetology
Background:
- Idiopathic trigger digit is a common condition affecting the hand.
- Recurrence or development of a second trigger digit in the contralateral or ipsilateral hand is a known complication.
Purpose of the Study:
- To identify predictors for the development of a second idiopathic trigger digit.
- To inform patients about the likelihood and risk factors associated with developing a second trigger digit.
Main Methods:
- Retrospective analysis of 2234 patients diagnosed with Quinnell grade 2 or greater trigger digit.
- Assessment of patient records for the development of a second trigger digit.
- Statistical analysis to determine predictors including comorbidities and follow-up duration.
Main Results:
- 22% (490/2234) of patients developed a second trigger digit.
- Carpal tunnel syndrome, Type 1 diabetes mellitus, and longer follow-up duration were significant predictors.
- Patients with carpal tunnel syndrome or Type 1 diabetes had approximately double the risk.
Conclusions:
- About one in five patients with an idiopathic trigger digit will develop a second one.
- Carpal tunnel syndrome and Type 1 diabetes mellitus are key risk factors for developing a second trigger digit.
- Informing patients about these risks can aid in management and monitoring.
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