Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Department of Orthopedic Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
J Hand Surg Asian Pac Vol. 2022 Jun;27(3):506-516. doi: 10.1142/S2424835522500503. Epub 2022 May 27.
The involvement of digits in patients with multiple trigger digits often displays specific patterns. We aimed to determine the patterns of involvement of digits in multiple trigger digits and their association with patient-related factors and compare them to those of patients with a single trigger digit. All patients with trigger digits treated over a 2-year period were retrospectively examined in June 2020. Data regarding the age at occurrence of initial trigger digit, sex, occupation, presence of diabetes mellitus, carpal tunnel syndrome and de Quervain disease, and hand dominance was determined. The data obtained from patients with multiple trigger digits was compared with those with a single trigger digit. Additionally, we investigated the patterns of involvement of the first two affected digits in patients with multiple trigger digits and their association with patient-related factors and compared them to those in patients with a single trigger digit. Three hundred and eighty-seven and 577 patients with multiple and single trigger digits, respectively, were studied. Their median age was 60 (range: 17-92) years. The incidence of concomitant diabetes mellitus was 150% higher in patients with multiple trigger digits than in those with a single trigger digit. Symmetric occurrence and adjacent occurrence patterns were observed in 42.4 % and 28.4% of the 387 patients, respectively. Initial onset in the fifth and sixth decades of life, female sex and a time lag between occurrences were significantly associated with symmetric occurrence. Male sex and simultaneous occurrence in two digits were significantly associated with adjacent occurrence. Diabetes mellitus was not associated with each occurrence pattern. We have confirmed the presence of two involvement patterns in patients with multiple trigger digits: symmetric and adjacent. Our data will help in the prevention, early detection and management of multiple trigger digits. Level III (Therapeutic).
多触发指患者的手指受累通常表现出特定的模式。我们旨在确定多触发指中手指受累的模式及其与患者相关因素的关联，并将其与单触发指患者进行比较。 2020 年 6 月，回顾性检查了 2 年内接受过扳机指治疗的所有患者。确定了首次发生扳机指的年龄、性别、职业、是否患有糖尿病、腕管综合征和 De Quervain 病以及惯用手等数据。将多触发指患者的数据与单触发指患者的数据进行比较。此外，我们还研究了多触发指患者前两个受累手指的受累模式及其与患者相关因素的关联，并将其与单触发指患者进行了比较。 分别对 387 例和 577 例多触发指和单触发指患者进行了研究。他们的中位年龄为 60 岁（范围：17-92 岁）。多触发指患者并发糖尿病的发生率比单触发指患者高 150%。387 例患者中，分别有 42.4%和 28.4%出现对称和相邻受累模式。第五和第六个十年发病、女性和两次发病之间的时间间隔与对称发病显著相关。男性和两个手指同时发病与相邻发病显著相关。糖尿病与每种发病模式无关。 我们已经证实多触发指患者存在两种受累模式：对称和相邻。我们的数据将有助于多触发指的预防、早期发现和管理。 三级（治疗）。
