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扳机指误区:范围界定综述。定义、病理生理学、病变部位、病因。扳机指——迷宫的解决方案。

Misconceptions about trigger finger: a scoping review. Definition, pathophysiology, site of lesion, etiology. Trigger finger solving a maze.

机构信息

Al-Ahrar Teaching Hospital, General Organization For Teaching Hospitals and Institutes, 5Th Kamal eldeen Abaza Street from, Manshet Abaza, Zagazig, 44759, Al-Sharkia, Egypt.

Al-Ahrar Teaching Hospital, General Organization For Teaching Hospitals and Institutes, 1st Talaat Harb Street from El Salm Street. Beside Sednawey Hospital, Zagazig, 44759, Al-Sharkia, Egypt.

出版信息

Adv Rheumatol. 2024 Jul 11;64(1):53. doi: 10.1186/s42358-024-00379-7.

DOI:10.1186/s42358-024-00379-7
PMID:38992697
Abstract

Trigger finger (TF) is a disorder characterized by snapping or locking a finger. It has a prevalence of greater than 3% in the general population; however, this estimate could be increased to 5% up to 20% in diabetic patients. Some unreal ambiguity about definition, pathophysiology, site of lesion, and etiology are found among researchers and clinicians, leading to a lack of understanding of all aspects of the disease and improper management as many clinicians proceed to anti-inflammatory medications or steroids injection without in-depth patient evaluation. Original articles cited up to 2022, found through a Google search using the specified keywords, have been used in this review. Close-access articles were accessed through our researcher account with the Egyptian Knowledge Bank. In this review, we will focus on pathophysiology to present all possible findings and etiology to represent all risk factors and associated diseases to assess and confirm a diagnosis and the exact location of pathology hence better treatment modalities and reducing the recurrence of the pathology.

摘要

扳机指(Trigger Finger,TF)是一种以手指突然弹响或卡住为特征的疾病。在普通人群中的患病率大于 3%;然而,在糖尿病患者中,这一估计值可能会增加到 5%至 20%。在研究人员和临床医生中,对于定义、病理生理学、病变部位和病因存在一些不明确的情况,导致对疾病的各个方面缺乏了解,以及许多临床医生在没有深入评估患者的情况下,就开始使用抗炎药物或类固醇注射进行不当治疗。本综述中使用了截至 2022 年通过谷歌搜索指定关键词找到的原始文章。通过我们的研究人员账户在埃及知识库中访问了可获取的文章。在这篇综述中,我们将重点关注病理生理学,以呈现所有可能的发现和病因,以代表所有的风险因素和相关疾病,以评估和确认诊断以及病理学的确切位置,从而提供更好的治疗方式,并减少病理学的复发。

相似文献

1
Misconceptions about trigger finger: a scoping review. Definition, pathophysiology, site of lesion, etiology. Trigger finger solving a maze.扳机指误区:范围界定综述。定义、病理生理学、病变部位、病因。扳机指——迷宫的解决方案。
Adv Rheumatol. 2024 Jul 11;64(1):53. doi: 10.1186/s42358-024-00379-7.
2
Surgery for trigger finger.扳机指手术
Cochrane Database Syst Rev. 2018 Feb 20;2(2):CD009860. doi: 10.1002/14651858.CD009860.pub2.
3
Stiffness of the first annular pulley in normal and trigger fingers.正常手指和扳机指中第一环状滑车的僵硬情况
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Quantifying catch-and-release: the extensor tendon force needed to overcome the catching flexors in trigger fingers.量化捉放:克服扳机指屈肌的伸肌腱力量。
J Orthop Res. 2013 Jul;31(7):1130-5. doi: 10.1002/jor.22333. Epub 2013 Apr 1.
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Acupuncture for the treatment of trigger finger in adults: a prospective case series.针刺治疗成人扳机指:一项前瞻性病例系列研究。
Acupunct Med. 2016 Oct;34(5):392-397. doi: 10.1136/acupmed-2016-011068. Epub 2016 Jul 11.
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Sonographic evaluation of effects of the volar plate on trigger finger.掌板对扳机指影响的超声评估
J Orthop Sci. 2015 Nov;20(6):999-1004. doi: 10.1007/s00776-015-0752-2. Epub 2015 Jul 22.
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Dysregulation of epigenetic related genes in Diabetic Trigger finger Patients; preliminary analysis of Patient-Derived Samples.糖尿病触发指患者中表观遗传学相关基因失调;患者来源样本的初步分析。
Biomol Concepts. 2020 Dec 31;11(1):221-229. doi: 10.1515/bmc-2020-0020.
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Trigger Finger: An Atraumatic Medical Phenomenon.扳机指:一种无创伤性医学现象。
J Hand Surg Asian Pac Vol. 2017 Jun;22(2):188-193. doi: 10.1142/S021881041750023X.
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Non-steroidal anti-inflammatory drugs (NSAIDs) for trigger finger.非甾体抗炎药(NSAIDs)治疗扳机指。
Cochrane Database Syst Rev. 2021 Apr 14;4(4):CD012789. doi: 10.1002/14651858.CD012789.pub2.
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Factors associated with conversion to surgical release after a steroid injection in patients with a trigger finger.扳机指患者类固醇注射后行手术松解的相关因素。
Bone Joint J. 2022 Oct;104-B(10):1142-1147. doi: 10.1302/0301-620X.104B10.BJJ-2022-0058.R3.

引用本文的文献

1
Clinical effectiveness of Finger gliding Exercise for patients with trigger fingers receiving steroid injection: a Randomized Clinical Trial.类固醇注射治疗扳机指患者的手指滑动练习的临床疗效:一项随机临床试验。
Sci Rep. 2025 Feb 11;15(1):5141. doi: 10.1038/s41598-025-89436-9.

本文引用的文献

1
Diabetes Mellitus as a Risk Factor for Trigger Finger -a Longitudinal Cohort Study Over More Than 20 Years.糖尿病作为扳机指的一个危险因素——一项超过20年的纵向队列研究
Front Clin Diabetes Healthc. 2021 Nov 2;2:708721. doi: 10.3389/fcdhc.2021.708721. eCollection 2021.
2
Advanced glycation end productions and tendon stem/progenitor cells in pathogenesis of diabetic tendinopathy.晚期糖基化终末产物与肌腱干/祖细胞在糖尿病性肌腱病发病机制中的作用
World J Stem Cells. 2021 Sep 26;13(9):1338-1348. doi: 10.4252/wjsc.v13.i9.1338.
3
Trigger finger at the wrist caused by an intramuscular lipoma within the carpal tunnel: A case report.
腕管内肌内脂肪瘤导致的腕部扳机指:一例报告。
World J Clin Cases. 2021 Sep 6;9(25):7564-7571. doi: 10.12998/wjcc.v9.i25.7564.
4
Dysregulation of epigenetic related genes in Diabetic Trigger finger Patients; preliminary analysis of Patient-Derived Samples.糖尿病触发指患者中表观遗传学相关基因失调;患者来源样本的初步分析。
Biomol Concepts. 2020 Dec 31;11(1):221-229. doi: 10.1515/bmc-2020-0020.
5
Statin treatment increases the clinical risk of tendinopathy through matrix metalloproteinase release - a cohort study design combined with an experimental study.他汀类药物治疗通过基质金属蛋白酶释放增加腱病的临床风险 - 队列研究设计结合实验研究。
Sci Rep. 2019 Nov 29;9(1):17958. doi: 10.1038/s41598-019-53238-7.
6
Epidemiology of Trigger Finger: Metabolic Syndrome as a New Perspective of Associated Disease.扳机指的流行病学:代谢综合征作为相关疾病的新视角。
Hand (N Y). 2021 Jul;16(4):542-545. doi: 10.1177/1558944719867135. Epub 2019 Aug 28.
7
Finger Flexor Tenosynovitis From Stonefish Envenomation Injury.石鱼蜇伤所致手指屈肌腱腱鞘炎
J Am Acad Orthop Surg Glob Res Rev. 2019 May 8;3(5):e024. doi: 10.5435/JAAOSGlobal-D-19-00024. eCollection 2019 May.
8
Ultrasound Features of Trigger Finger: Review of the Literature.扳机指的超声表现:文献复习。
J Ultrasound Med. 2019 Dec;38(12):3141-3154. doi: 10.1002/jum.15025. Epub 2019 May 20.
9
Association between Stenosing Tenosynovitis and Dupuytren's Contracture in the Hand.手部狭窄性腱鞘炎与掌腱膜挛缩症之间的关联
Plast Reconstr Surg Glob Open. 2019 Jan 11;7(1):e2088. doi: 10.1097/GOX.0000000000002088. eCollection 2019 Jan.
10
Role of Thyroid Hormones in Skeletal Development and Bone Maintenance.甲状腺激素在骨骼发育和骨骼维持中的作用。
Endocr Rev. 2016 Apr;37(2):135-87. doi: 10.1210/er.2015-1106. Epub 2016 Feb 10.