Donati Danilo, Ricci Vincenzo, Boccolari Paolo, Origlio Flavio, Vita Fabio, Naňka Ondřej, Catani Fabio, Tarallo Luigi
Hand Rehabilitation Unit, Policlinico di Modena, Modena, 41125, Italy.
Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, 41121, Italy.
BMC Musculoskelet Disord. 2024 Dec 23;25(1):1061. doi: 10.1186/s12891-024-08192-5.
Trigger finger (TF), also known as stenosing flexor tenosynovitis, is a common pathology of the fingers causing functional deficit of the hand. In recent years, new therapeutic approaches such as extracorporeal shock wave therapy (ESWT) and ultrasound-guided (USG) procedures have joined the most traditional conservative treatments as the adaptation of daily activities involving the affected hand and the orthosis. Likewise, the ultrasound (US) examination of the affected finger using modern high-frequency probes has progressively become part of the comprehensive assessment of patients with TF coupled with the medical history, the physical examination, and the functional scales. In this sense, considering the technological advances in both diagnostic and therapeutic fields, the non-surgical strategies have progressively grown defining a rehabilitation panel more complex than in the past. The present manuscript aims to provide an updated practical guide for clinicians and surgeons reviewing the state-of-art of both the assessment and the treatments of patients with TF to plan tailored rehabilitation management taking advantage of the matching of traditional and novel techniques.
扳机指（TF），也称为狭窄性屈肌腱腱鞘炎，是一种常见的手指疾病，会导致手部功能障碍。近年来，诸如体外冲击波疗法（ESWT）和超声引导（USG）手术等新的治疗方法，已与最传统的保守治疗方法一起，成为涉及患手日常活动调整和矫形器治疗的一部分。同样，使用现代高频探头对患指进行超声（US）检查，已逐渐成为TF患者综合评估的一部分，该评估还包括病史、体格检查和功能量表。从这个意义上讲，考虑到诊断和治疗领域的技术进步，非手术策略逐渐发展，形成了一个比过去更复杂的康复方案。本手稿旨在为临床医生和外科医生提供一份最新的实用指南，回顾TF患者评估和治疗的最新进展，以便利用传统技术与新技术的结合，制定量身定制的康复管理计划。
