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How Many Trigger Fingers Resolve Spontaneously Without Any Treatment?
Daniel McKee1, Jan Lalonde1, Don Lalonde1
1Division of Plastic and Reconstructive Surgery, Dalhousie University, Saint John, New Brunswick, Canada.
Plastic Surgery (Oakville, Ont.)
|April 6, 2018
Summary
Over half of adult trigger finger cases resolve naturally within 8 months, particularly affecting the thumb. This study highlights the potential for spontaneous healing without medical intervention.
Area of Science:
- Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Limited data exists on the natural progression of adult trigger finger.
- Understanding spontaneous resolution rates is crucial for treatment decisions.
Purpose of the Study:
- To evaluate the natural history of adult trigger finger.
- To determine the rate of spontaneous resolution over time.
Main Methods:
- A consecutive case series of 343 patients with trigger finger was analyzed.
- Data collected included resolution status (with or without treatment) and time to resolution.
Main Results:
- 52% of trigger finger cases resolved spontaneously without any treatment.
- The average time to spontaneous resolution was 8 months.
- The thumb was the most commonly affected digit to resolve without intervention (72%).
Conclusions:
- A significant proportion of adult trigger finger cases resolve on their own.
- Spontaneous healing is a common outcome, suggesting conservative management may be appropriate for some patients.
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