McKee Daniel, Lalonde Jan, Lalonde Don
Division of Plastic and Reconstructive Surgery, Dalhousie University, Saint John, New Brunswick, Canada.
Plast Surg (Oakv). 2018 Feb;26(1):52-54. doi: 10.1177/2292550317740691. Epub 2017 Nov 21.
There is very little information in the literature evaluating the natural history of adult trigger fingers and their rate of spontaneous resolution over time.
A consecutive case series of patients with trigger finger was generated. For each patient, we recorded whether the patient's disease resolved from either no treatment versus active treatment options and over what time period.
Three hundred forty-three patients with trigger finger were included in the study. Fifty-two percent of patients resolved without any treatment whatsoever after waiting a mean (and median) of 8 months from initial consultation. The thumb was the most frequent digit to resolve without treatment (72%).
We found that just over half of patients with trigger fingers who are referred to our office resolve spontaneously without any intervention.
文献中关于成人扳机指的自然病程及其随时间自发缓解率的信息非常少。
生成了一系列扳机指患者的连续病例。对于每位患者，我们记录了其疾病是在未治疗还是接受积极治疗的情况下缓解的，以及缓解所经过的时间段。
该研究纳入了343例扳机指患者。在从初次就诊起平均（及中位数）等待8个月后，52%的患者未经任何治疗就得到了缓解。拇指是未经治疗而缓解的最常见手指（72%）。
我们发现，转诊至我们科室的扳机指患者中，略超过一半会在没有任何干预的情况下自发缓解。
