15 papers · updated 2026-09-26 · Hand & Upper Extremity · All topics
The newest papers on trigger finger from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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In a retrospective cohort of 56 pediatric trigger thumb releases, WALANT achieved equivalent outcomes to general anesthesia while cutting OR time, hospital stay, and costs substantially, supporting broader pediatric use.
A Medicare-based cost analysis found up to three corticosteroid injections before open release is most cost-effective for trigger finger, while office-based ultrasound-guided release is not cost-effective at current device prices.
In diabetic patients with trigger finger, GLP-1 receptor agonist use was linked to a small but significant reduction in progression to A1 pulley release surgery at 12 and 24 months after steroid injection.
Adding A2 pulley partial release and FDS tendon splitting to A1 pulley release for pediatric trigger finger resulted in no recurrences and no pain at long-term follow-up across 38 digits.
Flexor tendon rupture after single corticosteroid injection is rare but possible; extra-tendinous low-dose injection with activity restriction minimizes risk.
In 249 children undergoing trigger thumb release, both sedation-assisted and audiovisual distraction-assisted local anesthesia were feasible, well-tolerated, and avoided general anesthesia with high caregiver satisfaction.
Screening for amyloidosis in trigger finger release and Dupuytren's fasciectomy.
Screening surgical specimens found amyloid deposits in 5% of trigger finger releases (mostly transthyretin type) but none confirmed in Dupuytren fasciectomy tissue, suggesting trigger finger release may aid early amyloidosis detection while fasciectomy tissue does not.
A life-cycle analysis found WALANT reduced greenhouse gas emissions by 81% compared to general anesthesia for pediatric trigger thumb release, supporting its use as a sustainable surgical option.
Predictors of Postsurgical Outcomes in Trigger Finger Release: A Retrospective Analysis.
In 609 trigger finger releases, index finger involvement, younger age, prior TFR, and non-White race predicted repeat surgery or ED visits, helping guide risk-based perioperative counseling.
Socioeconomic and Demographic Influences on Trigger Finger Management: A Retrospective Cohort study.
In a cohort of 2,639 trigger finger patients, age, race, and insurance status—but not education, sex, or comorbidities—independently influenced likelihood of surgical release, revealing socioeconomic disparities in care.
Trigger finger affects 2% general population and 5.8% of diabetics; 16.6% require surgery within 3 years of diagnosis.
The Effect of Corticosteroid Type on Failure Following Primary Trigger Finger Injection.
Betamethasone injections for primary trigger finger had significantly higher failure rates and faster time to failure than triamcinolone, favoring triamcinolone as the preferred steroid choice.
Transtendinous corticosteroid injection at proximal phalanx reliably delivers medication intra-sheath with 70% achieving total symptom relief within 6 weeks.
Ulnar Slip Flexor Digitorum Superficialis Excision in Trigger Finger Surgery: Anatomic Study.
Ulnar FDS slip excision through a palmar-only incision leaves a substantial residual stump near the A2 pulley, risking persistent triggering and possibly requiring more distal excision.
Percutaneous ultrasound-guided carpal tunnel and trigger finger release may reduce tendon bowstringing, but biomechanical comparison with open surgery remains limited.
Trigger Digits: Principles, Management, and Complications
Reviews trigger finger pathomechanics and treatment, noting corticosteroid injection and A-1 pulley release remain mainstays but rheumatoid, diabetic, and pediatric patients need tailored approaches.
Dupuytren's disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus
Reviews the well-established link between diabetes and hand conditions like Dupuytren's, carpal tunnel syndrome, and trigger finger.
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