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Surgery for trigger finger.

Haroldo Junior Fiorini1, Marcel Jun Tamaoki, Mário Lenza

  • 1Department of Orthopaedics and Traumatology, Universidade Federal de São Paulo, Rua Borges Lagoa, n 783, 5° andar, São Paulo, Brazil, 04038-032.

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|February 21, 2018
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Summary
This summary is machine-generated.

Open surgery for trigger finger may reduce recurrence compared to steroid injections, but increases short-term pain. Evidence on resolution, adverse events, and hand function remains uncertain due to low-quality studies.

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Evidence-Based Medicine

Background:

  • Trigger finger results from flexor tendon and A1 pulley diameter mismatch.
  • Treatment options include non-surgical and surgical interventions.
  • Optimal surgical approach (open, percutaneous, endoscopic) lacks consensus.

Purpose of the Study:

  • To evaluate the effectiveness and safety of different surgical treatments for trigger finger in adults.
  • To compare open, percutaneous, and endoscopic surgical approaches.
  • To assess outcomes such as symptom resolution, pain, function, and adverse events.

Main Methods:

  • Systematic review and meta-analysis of randomized or quasi-randomized controlled trials.
  • Searched CENTRAL, MEDLINE, Embase, and LILACS databases.
  • Assessed risk of bias and used GRADE to evaluate evidence quality.

Main Results:

  • Low-quality evidence suggests open surgery reduces trigger finger recurrence versus steroid injections (6-12 months).
  • Open surgery showed increased short-term pain compared to steroid injections.
  • Uncertainty exists regarding resolution rates, adverse events, and neurovascular injury due to low-quality evidence and few events.

Conclusions:

  • Open surgery may offer lower recurrence rates for trigger finger than steroid injections.
  • Increased short-term pain is a disadvantage of open surgery.
  • Further high-quality research is needed to clarify the efficacy and safety of different surgical techniques.