Triggering of the Digits After Carpal Tunnel Surgery

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dc.contributor.authorAcar, Mehmet Ali
dc.contributor.authorKutahya, Harun
dc.contributor.authorGulec, Ali
dc.contributor.authorElmadag, Mehmet
dc.contributor.authorKaralezli, Nazim
dc.contributor.authorOgun, Tunc Cevat
dc.date.accessioned2020-03-26T19:07:47Z
dc.date.available2020-03-26T19:07:47Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIntroduction Carpal tunnel syndrome (CTS) and trigger finger may be seen simultaneously in the same hand. The development of trigger finger in patients undergoing CTS surgery is not rare, but the relationship between these conditions has not been fully established. The aims of this prospective randomized study were to investigate the incidence of trigger finger in patient groups undergoing transverse carpal ligament releasing (TCL) or TCL together with distal forearm fascia releasing and to identify other factors that may have an effect of these conditions. Materials and Method This prospective randomized study evaluated 159 hands of 113 patients for whom CTS surgery was planned. The patients were separated into 2 groups: group 1 (79 hands of 57 patients) undergoing TCL releasing only and group 2 (80 hands of 56 patients) undergoing TCL and distal forearm fascia releasing together. The age and gender of the patients, dominant hand, physical examination findings, visual analogue scale (VAS), and electromyography (EMG) results were recorded. Follow-up examinations were made at 1, 3, 6, 12, and 24 months for all patients. We noted development of trigger finger in the surgical groups, and its location and response to treatment. Results The incidence of trigger finger development was statistically significantly different between group 1 and group 2 (13.9% and 31.3%, respectively). The logistic regression analysis of factors affecting the development of trigger finger posttreatment found that the surgical method and severity of EMG were significant, whereas the effects of the other factors studied were not found to have any statistical significance. Conclusion There was an increased risk of postoperative trigger finger development in patients undergoing TCL and distal forearm fascia releasing surgery for CTS compared to those undergoing CTL only. There is a need for further studies to support this result and further explain the etiology.en_US
dc.identifier.doi10.1097/SAP.0000000000000233en_US
dc.identifier.endpage397en_US
dc.identifier.issn0148-7043en_US
dc.identifier.issn1536-3708en_US
dc.identifier.issue4en_US
dc.identifier.pmid25003426en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage393en_US
dc.identifier.urihttps://dx.doi.org/10.1097/SAP.0000000000000233
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32712
dc.identifier.volume75en_US
dc.identifier.wosWOS:000361609000008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofANNALS OF PLASTIC SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectcarpal tunnel syndromeen_US
dc.subjecttrigger fingeren_US
dc.subjecttransverse carpal ligamenten_US
dc.subjectforearm faciaen_US
dc.subjectcarpal tunnel surgeryen_US
dc.titleTriggering of the Digits After Carpal Tunnel Surgeryen_US
dc.typeArticleen_US

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