Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Pignet, AL; Gmainer, DG; Michelitsch, B; Quehenberger, F; Lumenta, DB.
Association of trigger finger release with extracorporeal constriction: a retrospective review of operated cases
EUR J PLAST SURG. 2023;
Doi: 10.1007/s00238-022-02016-2
Web of Science
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- Führende Autor*innen der Med Uni Graz
- Gmainer Daniel Georg
- Pignet Anna-Lisa
- Co-Autor*innen der Med Uni Graz
- Lumenta David Benjamin
- Michelitsch Birgit
- Quehenberger Franz
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- Abstract:
- Background None of the commonly cited risk factors for chronic hand conditions such as trigger finger (TF) delivers a convincing explanation for the striking differences among affected fingers or gender predominance. Hence, we aimed to investigate further possible TF-associated risk factors such as extrinsic mechanical constrictions caused by wedding rings.Methods A retrospective data analysis was conducted at a single centre. Patients operated on for release of the A1 pulley from 2005 to 2019 were included. Exclusion criteria involved multiple TF and unknown marital statuses. Case attribution of patients was made with surgical A1-pulley release of the ring finger vs. controls (all other affected single fingers) with marital status equal to "married " as a risk factor. Differences in frequencies were tested using Fisher's exact test and risk factors expressed as odds ratios (OR). Models adjusting for age were analysed by logistic regression.Results In our 188-patient cohort (60 male/128 female), the three most affected (92% of cases) were the thumb (n = 69), ring (n = 52), and middle finger (n = 52). When comparing the affected ring fingers to all other digits collectively, we found a significantly higher number of ring fingers in the married group (OR = 3.0, 95% CI: 1.37-6.7 p = 0.005). Although marital status depended strongly on age, the odds ratio remained almost unchanged after adjusting for age.Conclusions We conclude that any form of extrinsic mechanical constriction of fingers associated with rings increases the risk for developing one of the most common hand conditions worldwide; this may be relevant for reassessing disease-related risk.
- Find related publications in this database (Keywords)
- Trigger finger
- Marriage
- Wedding bands
- Risk factor analysis
- Hand surgery