Vasiliadis Angelo V, Itsiopoulos Iraklis
* Department of Surgery, Division of Orthopaedic Surgery, General Hospital of Grevena, Grevena.
† Department of Physical Education and Sports Science in Serres, Aristotle University of Thessaloniki, Thessaloniki.
J Hand Surg Asian Pac Vol. 2017 Jun;22(2):188-193. doi: 10.1142/S021881041750023X.
Trigger finger is a mechanical problem with many etiological factors as possible causes, such as diabetes mellitus, carpal tunnel syndrome and repetitive finger movements. Although it can afflict anyone, it is much commoner in middle-aged women than men and the most commonly involved digit is reported to be the thumb. The diagnosis is mainly based on clinical symptoms during examination and first-line treatment is conservative with splinting and corticosteroid injections. Surgical open release is the "gold standard" of trigger finger treatment because it allows more careful inspection of the surgical area and is highly effective with low complication rates.
扳机指是一个存在多种病因的机械性问题,可能的病因包括糖尿病、腕管综合征和重复性手指运动等。尽管任何人都可能患病,但中年女性比男性更为常见,据报道最常受累的手指是拇指。诊断主要基于检查时的临床症状,一线治疗是采用夹板固定和皮质类固醇注射等保守方法。手术切开松解是扳机指治疗的“金标准”,因为它能更仔细地检查手术区域,且效果显著,并发症发生率低。