扳机指的治疗
Trigger Finger Treatment.
作者信息
Belloti João Carlos, Sato Edson Sasahara, Faloppa Flavio
机构信息
Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
出版信息
Rev Bras Ortop (Sao Paulo). 2020 Sep 22;57(6):911-916. doi: 10.1055/s-0040-1713765. eCollection 2022 Dec.
Trigger finger is a frequent condition. Although tenosynovitis and the alteration of pulley A1 are identified as triggering factors, there is no consensus on the true cause in the literature, and its true etiology remains unknown. The diagnosis is purely clinical most of the time. It depends solely on the existence of finger locking during active bending movement. Trigger finger treatment usually begins with nonsurgical interventions that are instituted for at least 3 months. In patients with initial presentation with flexion deformity or inability to flex the finger, there may be earlier indication of surgical treatment due to pain intensity and functional disability. In the present review article, we will present the modalities and our algorithm for the treatment of trigger finger.
扳机指是一种常见病症。尽管腱鞘炎和A1滑车改变被认为是触发因素，但文献中对于其真正病因尚无共识，其确切病因仍然不明。大多数情况下，诊断完全基于临床症状。这仅取决于主动弯曲手指时是否存在手指卡顿现象。扳机指的治疗通常始于至少为期3个月的非手术干预措施。对于最初表现为屈曲畸形或无法弯曲手指的患者，由于疼痛程度和功能障碍，可能有更早进行手术治疗的指征。在本综述文章中，我们将介绍扳机指的治疗方式及我们的治疗方案。
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