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2008, Number 4

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Cir Cir 2008; 76 (4)

Risk factors associated with trigger finger. Case-control study

De la Parra-Márquez ML, Tamez-Cavazos R, Zertuche-Cedillo L, Martínez-Pérez JJ, Velasco-Rodríguez V, Cisneros-Pérez V

Language: Spanish
References: 26
Page: 323-327
PDF size: 50.27 Kb.


ABSTRACT

Objective: We undertook this study to identify risk factors in our population associated with trigger finger. The study was conducted at the Instituto Mexicano del Seguro Social, UMAE 21, Monterrey, Nuevo Leon, Mexico.
Methods: This was a case-control, retrospective, and observational study. There were 250 patients in each group. For cases, patients who were operated on for trigger finger from March 2006 to August 2006 were included. Controls included patients admitted to the Emergency Department with hand injuries that fulfilled the selection criteria. Risk factors analyzed were diabetes, hypertension, smoking, sex, age, weight, and 19 different occupations.
Results: Mean age of the cases was 52 years (SD ± 14.19 years) with a median and average of 53 years. The right hand was the most common with the middle, thumb, ring, index and little fingers, respectively. A significant statistical relationship was found: females (OR = 7.57, 95% CI = 5.07-11.31); diabetes (OR 3.72, 95% CI = 2.43-5.70); obesity (OR = 1.49, 95% CI = 1.02-2.19). With regard to occupations, a statistical relationship was found: homemaker (OR = 2.44, 95% CI = 1.62-3.69); seamstress (OR 4.8, 95% CI = 1.3-21.6); and secretary (OR = 2.74, 95% CI = 1.38-5.52).
Conclusions: Trigger finger is a common pathology in our population and it is more frequent in women 53 years old. It may be related to diabetes, body mass index (obesity) and certain occupations such as secretary, seamstress and homemaker.


REFERENCES

  1. Jeannin G. Etude sur le doigt a ressort. Arch Gen Med 1858;8 Serie, Tome IV:424.

  2. Finkelstein H. Stenosing tendovaginitis at the radial styloid process. J Bone Joint Surg 1930;12:509-540.

  3. Compere EL. Bilateral snapping thumbs. Am J Surg 1933;97:773-777.

  4. Strom L. Trigger finger in diabetes. J Med Soc NJ 1977;74:951-954.

  5. Smith LL, Burnet SP, McNeil JD. Musculoskeletal manifestations of diabetes mellitus. Br J Sports Med 2003;37:30-35.

  6. Ger E, Kupcha P, Ger D. The management of trigger thumb in children. J Hand Surg 1991;16A:944-947.

  7. Gorsche R, Wiley JP, Renger R, Brant R, Gemer T, Sasyniuk T. Prevalence and incidence of stenosing flexor tenosynovitis (trigger finger) in a meatpacking plant. J Occup Environ Med 1998;40:556-560.

  8. Nasca RJ. Trigger finger: a common hand problem. J Ark Med Soc 1980;76:388-390.

  9. Yassi A. Work-related musculoskeletal disorders. Curr Opin Rheumatol 2000;12:124-130.

  10. World Health Organization (WHO). Identification and control of workrelated diseases. Technical Report Series No. 714, Geneva;1985. p. 1-7.

  11. Freiberg A, Mulholland R, Levine R. Nonoperative treatment of trigger finger and thumb. J Hand Surg 1989;14:553-558.

  12. Hadji-Zavar A. [Quervain’s stenosing tenosynovitis and snapping finger.] Z Unfallmed Berufskr 1959 Dec 15;52:275-297.

  13. Lapidus PW, Fenton R. Stenosing tendovaginitis at the wrist and fingers: report of 423 cases in 369 patients with 354 operations. AMA Arch Surg 1952;64:475-487.

  14. Seradge H, Kleinert HE. Reduction flexor tenoplasty. J Hand Surg 1981;6:543-544.

  15. Gaffield J, Mackay D. A-3 pulley trigger finger. Ann Plast Surg 2001;46:352-353.

  16. Sherman PJ, Lane LB. The palmar aponeurosis pulley as a cause of trigger finger. J Bone Joint Surg 1996;78A:1753-1754.

  17. Sampson SP, Badalamente MA, Hurst LC, Seidman J. Pathobiology of the human A1 pulley in trigger finger. J Hand Surg 1991;16A:714-721.

  18. Moore JS. Flexor tendon entrapment of the digits (trigger finger and trigger thumb). J Occup Environ Med 2000;42:526-545.

  19. Akhtar S, Bradley M, Quinton D, Burke F. Management and referral for trigger finger/thumb. BMJ 2005;331:30-33.

  20. Anderson B, Kaye S. Treatment of flexor tenosynovitis of the hand with corticosteroids: a prospective study of the response to local injection. Arch Intern Med 1991;151:153-156.

  21. Newport ML, Lane LB, Stuchin SA. Treatment of trigger finger by steroid injection. J Hand Surg 1990;15:748-750.

  22. Thorpe AP. Results of surgery for trigger finger. J Hand Surg 1988;13:199.

  23. Lorthioir J. Surgical treatment of trigger finger by a subcutaneous method. J Bone Joint Surg 1958;40:793.

  24. Wilhelmi BR, Mowlavi A, Neumeister MW, Bueno R, Lee A. Safe treatment of trigger finger with longitudinal and transverse landmarks: an anatomic study of the border fingers for percutaneous release. Plast Reconstr Surg 2003;112:993-999.

  25. Wilhelmi BR, Snyder N, Verbesey J, Ganchi P, Lee A. Trigger finger release with hand surface landmark ratios: an anatomic and clinical study. Plast Recontr Surg 2001;108:908-915.

  26. Sosa SU, Hernández RA, Morfa VF. Dedo en resorte por nódulo en tendón flexor: tratamiento mediante electromagnetoterapia en atención primaria. Rev Cubana Ortop Traumatol 1997;11:25-30.




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