Predictors and Incidence of Requiring Subsequent Injection or Surgery in the Same Digit Following Trigger Finger...

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Musculoskeletal Disorders

Background:

• Limited data exists on reoperation or additional corticosteroid injections post-trigger finger release.
• This study quantifies the need for subsequent treatments in the same digit after surgical trigger finger release.
• Identifies risk factors associated with requiring further intervention for trigger finger.

Purpose of the Study:

• To determine the incidence of repeat corticosteroid injections or reoperation for trigger finger release.
• To identify patient-specific and procedure-specific risk factors for requiring additional treatment in the same digit.

Main Methods:

• Retrospective cohort study of patients undergoing primary trigger finger release (2015-2017).
• Assessed incidence of subsequent steroid injections or reoperation in the same digit.
• Multivariate regression analysis to identify independent risk factors for further treatment.

Main Results:

• Overall, 2.68% of patients required additional treatment (injection or surgery) in the same digit.
• Reoperation rate was 0.76%, while 1.92% of patients needed further corticosteroid injections.
• Initial release of the index finger, middle finger, or multiple fingers predicted the need for subsequent treatment.

Conclusions:

• Reoperation rates for trigger finger release are low (<1%), aligning with existing literature.
• The incidence of requiring steroid injections post-surgery for trigger finger is 1.92%.
• Findings offer valuable insights for surgeon-patient communication regarding outcomes and potential need for additional trigger finger treatments.