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Long-term functional outcome of trigger finger.
Danit Langer1, Shai Luria2, Michael Michailevich3
1a School of Occupational Therapy , Hadassah and Hebrew University , Jerusalem , Israel.
Disability and Rehabilitation
|November 11, 2016
Summary
Trigger finger (TF) can cause significant long-term pain and disability, affecting daily activities. Even after treatment, many patients experience persistent issues, highlighting the need for comprehensive rehabilitation and long-term follow-up.
Area of Science:
- Orthopedics
- Hand Surgery
- Rehabilitation Medicine
Background:
- Trigger finger (TF) is a common condition affecting hand function.
- Understanding long-term patient-perceived outcomes is crucial for effective management.
- Existing research often focuses on short-term results, leaving a gap in long-term functional outcome data.
Purpose of the Study:
- To investigate the long-term functional outcomes of trigger finger (TF) from the patient's perspective.
- To compare functional outcomes and pain levels between patients with acute TF, prolonged follow-up TF, and a healthy control group.
Main Methods:
- Retrospective recruitment of 109 patients with prolonged follow-up TF (≥1 year post-treatment).
- Inclusion of patients with acute TF and a healthy control group from a previous study.
- Utilized the Quick Disabilities of the Arm Shoulder and Hand (QuickDASH) and numeric pain scale (NPS) as primary outcome measures.
Main Results:
- Both acute and prolonged follow-up TF groups reported significantly higher disability and pain compared to controls.
- The acute TF group experienced greater disability and pain than the prolonged follow-up TF group.
- 72% of acute TF patients reported moderate to severe pain versus 37% in the prolonged follow-up TF group.
Conclusions:
- Substantial long-term disability and pain persist in both acute and chronic trigger finger cases.
- Recovery from TF can be prolonged, necessitating long-term follow-up in clinical practice.
- Intervention assessments should incorporate patient-reported outcomes and standardized disability measures like QuickDASH to address activity and participation limitations.
