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Association between multiple trigger fingers, systemic diseases and carpal tunnel syndrome: A multivariate analysis
D Berlanga-de-Mingo1, L Lobo-Escolar1, I López-Moreno2
1MIR, Hospital Asepeyo de Sant Cugat, Sant Cugat del Vallès, Barcelona, España.
Revista Espanola De Cirugia Ortopedica Y Traumatologia (English Ed.)
|February 24, 2019
Summary
Multiple trigger finger (TF) in young patients is linked to diabetes mellitus and carpal tunnel syndrome (CTS). The dominant hand is also more frequently affected in cases of multiple TF.
Area of Science:
- Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Trigger finger (TF) is a common condition influenced by various factors.
- Understanding associated systemic and musculoskeletal disorders is crucial for managing TF.
Purpose of the Study:
- To investigate the relationship between multiple trigger finger (TF) and systemic or musculoskeletal disorders in young patients.
- To identify specific conditions associated with the occurrence of multiple TF.
Main Methods:
- Retrospective analysis of 279 patients who underwent TF surgery between 2011 and 2015.
- Data collected included single or multiple TF diagnosis and comorbidities like diabetes mellitus (DM), carpal tunnel syndrome (CTS), and thyroid dysfunction.
- Statistical analysis involved bivariate analysis and multiple logistic regression.
Main Results:
- 59 patients presented with multiple TF.
- A significantly higher prevalence of DM and CTS was observed in patients with multiple TF compared to single TF.
- Multiple TF was significantly more frequent in the dominant hand.
Conclusions:
- Diabetes mellitus (DM), carpal tunnel syndrome (CTS), and the dominant side are independently associated with multiple TF in young patients.
- These findings highlight the importance of screening for DM and CTS in patients with multiple TF.
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