Complications and Functional Outcomes following Trigger Finger Release: A Cohort Study of 1879 Patients

Although trigger finger release is considered a safe procedure, large cohort studies reporting consistent complication rates and functional outcomes are scarce. Further insight into outcomes of this commonly performed procedure is essential for adequate treatment evaluation and patient counseling. T...

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Published inPlastic and reconstructive surgery (1963) Vol. 150; no. 5; p. 1015
Main Authors Koopman, Jaimy E, Hundepool, Caroline A, Duraku, Liron S, Smit, Jeroen M, Zuidam, J Michiel, Selles, Ruud W, Wouters, Robbert M
Format Journal Article
LanguageEnglish
Published United States 01.11.2022
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Abstract Although trigger finger release is considered a safe procedure, large cohort studies reporting consistent complication rates and functional outcomes are scarce. Further insight into outcomes of this commonly performed procedure is essential for adequate treatment evaluation and patient counseling. Therefore, the aim of this study was to assess the complication rates and functional outcomes following trigger finger release. This is an observational multicenter cohort study of patients undergoing trigger finger release. The primary outcome included the occurrence of complications. The secondary outcome was change in hand function (Michigan Hand outcomes Questionnaire) from baseline to 3 months postoperatively. Complications were observed in 17.1 percent of 1879 patients. Most complications were minor, requiring hand therapy or analgesics (7.0 percent of all patients), antibiotics, or steroid injections (7.8 percent). However, 2.1 percent required surgical treatment and 0.2 percent developed complex regional pain syndrome. The Michigan Hand Outcomes Questionnaire total score improved from baseline to 3 months postoperatively with 12.7 points, although the authors found considerable variation in outcomes with less improvement in patients with better baseline scores. This study demonstrates that trigger finger release results in improved hand function, although complications occur in 17 percent. Most complications are minor and can be treated with nonsurgical therapy, resulting in improved hand function as well. However, additional surgical treatment is required in 2 percent of patients. In addition, the authors found that change in hand function depends on the baseline score, with less improvement in patients with better baseline scores. Future studies should investigate factors that contribute to the variability in treatment outcomes following trigger finger release. Therapeutic, IV.
AbstractList Although trigger finger release is considered a safe procedure, large cohort studies reporting consistent complication rates and functional outcomes are scarce. Further insight into outcomes of this commonly performed procedure is essential for adequate treatment evaluation and patient counseling. Therefore, the aim of this study was to assess the complication rates and functional outcomes following trigger finger release. This is an observational multicenter cohort study of patients undergoing trigger finger release. The primary outcome included the occurrence of complications. The secondary outcome was change in hand function (Michigan Hand outcomes Questionnaire) from baseline to 3 months postoperatively. Complications were observed in 17.1 percent of 1879 patients. Most complications were minor, requiring hand therapy or analgesics (7.0 percent of all patients), antibiotics, or steroid injections (7.8 percent). However, 2.1 percent required surgical treatment and 0.2 percent developed complex regional pain syndrome. The Michigan Hand Outcomes Questionnaire total score improved from baseline to 3 months postoperatively with 12.7 points, although the authors found considerable variation in outcomes with less improvement in patients with better baseline scores. This study demonstrates that trigger finger release results in improved hand function, although complications occur in 17 percent. Most complications are minor and can be treated with nonsurgical therapy, resulting in improved hand function as well. However, additional surgical treatment is required in 2 percent of patients. In addition, the authors found that change in hand function depends on the baseline score, with less improvement in patients with better baseline scores. Future studies should investigate factors that contribute to the variability in treatment outcomes following trigger finger release. Therapeutic, IV.
Author Wouters, Robbert M
Selles, Ruud W
Zuidam, J Michiel
Koopman, Jaimy E
Duraku, Liron S
Smit, Jeroen M
Hundepool, Caroline A
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crossref_primary_10_1007_s00264_024_06243_z
crossref_primary_10_1136_bmjopen_2023_077101
crossref_primary_10_1177_17531934231176663
crossref_primary_10_1016_j_jhsg_2023_06_010
crossref_primary_10_1186_s12891_023_06982_x
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Snippet Although trigger finger release is considered a safe procedure, large cohort studies reporting consistent complication rates and functional outcomes are...
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StartPage 1015
SubjectTerms Anti-Bacterial Agents - therapeutic use
Cohort Studies
Humans
Steroids
Treatment Outcome
Trigger Finger Disorder - drug therapy
Trigger Finger Disorder - surgery
Title Complications and Functional Outcomes following Trigger Finger Release: A Cohort Study of 1879 Patients
URI https://www.ncbi.nlm.nih.gov/pubmed/35994343
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