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Diabetes and trigger finger

M J Blyth1, D J Ross

  • 1Department of Orthopaedics and Trauma, Stirling Royal Infirmary, Livilands, Scotland.

Journal of Hand Surgery (Edinburgh, Scotland)
|April 1, 1996
PubMed
Summary
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Diabetes is linked to trigger finger, a condition requiring surgery in some cases. This study found 18% of surgical patients had diabetes, highlighting the need for preoperative screening.

Area of Science:

  • Orthopedics
  • Endocrinology
  • Hand Surgery

Background:

  • Trigger finger, or stenosing tenovaginitis, involves tendon sheath constriction and nodules.
  • While often self-resolving or treatable with injections, some cases necessitate surgical decompression.
  • The connection between diabetes and trigger finger, part of the 'diabetic hand syndrome,' is not widely recognized.

Purpose of the Study:

  • To investigate the prevalence of diabetes in adult patients undergoing surgery for trigger finger.
  • To assess the implications of this association for patient management and preoperative screening.

Main Methods:

  • A study of 100 adult patients who required surgical intervention for trigger finger.
  • Analysis of diabetes status within the surgical cohort, differentiating between insulin-dependent and non-insulin-dependent diabetes.

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Main Results:

  • Eighteen percent (18/100) of patients undergoing surgery for trigger finger had diabetes.
  • This included six insulin-dependent diabetics (IDDM) and 12 non-insulin-dependent diabetics (NIDDM).

Conclusions:

  • The significant prevalence of diabetes in surgically treated trigger finger patients underscores its clinical relevance.
  • Preoperative detection of diabetes is crucial for managing these patients, particularly in the context of day case surgery.