Trigger finger and carpal tunnel syndrome: a meta-analysis of co-occurrence and risk
DOI:
https://doi.org/10.2340/jphs.v60.43199Keywords:
CTS, carpal tunnel syndrome, trigger finger, fingers, risk factorAbstract
Carpal tunnel syndrome (CTS) and trigger finger (TF) are two of the most common conditions of the hand. Co-occurrence is mentioned by a number of publications, but there are few high-level evidence studies that summarise the results of large databases to quantify the chances of concurrency in detail making it difficult to gauge clinical significance. We aimed to quantify the impact of CTS, TF and surgery for these conditions on the prevalence of the other condition. Systematic review based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, with registration in the PROSPERO database. TF is clearly more common with CTS and after CTS surgery, so it is important to seek out symptoms of TF, even the initial ones, at every examination performed for CTS. Thus, conservative treatment of TF maybe started in time and TF surgery may be performed in conjunction with CTS surgery. Level of Evidence: IV. Prospero registration number: CRD42022382672
Downloads
References
Campos-Serna I, Garcia-Espinoza JA, Cahuana-Quispe AI, et al. Diagnosis and treatment of carpal tunnel syndrome in a tertiary care center in Mexico City. World J Plast Surg. 2020;9(2):213–218. https://doi.org/10.29252/wjps.9.2.213 DOI: https://doi.org/10.29252/wjps.9.2.213
Shen P-C, Chang P-C, Jou IM, et al. Hand tendinopathy risk factors in Taiwan: a population-based cohort study. Medicine (Baltimore).2019;98(1):e13795.https://doi.org/10.1097/MD.0000000000013795 DOI: https://doi.org/10.1097/MD.0000000000013795
Leti Acciaro A, Pilla F, Faldini C, et al. The carpal tunnel syndrome in children. Musculoskelet Surg. 2018;102(3):261–265. https://doi.org/10.1007/s12306-017-0527-3 DOI: https://doi.org/10.1007/s12306-017-0527-3
Hsieh HH, Wu WT, Shih JT, et al. Incidence of carpal tunnel syndrome requiring surgery may increase in patients treated with trigger finger release: a retrospective cohort study. Clin Epidemiol. 2022;14:1079–1086. https://doi.org/10.2147/CLEP.S383397 DOI: https://doi.org/10.2147/CLEP.S383397
Fitch MS, Thiese MS, Wood EM, et al. The Coexistence of carpal tunnel syndrome in workers with trigger digit. Hand (New York, NY). 2021;16(6):753–758. https://doi.org/10.1177/1558944719893048 DOI: https://doi.org/10.1177/1558944719893048
Patel B, Kleeman SO, Neavin D, et al. Shared genetic susceptibility between trigger finger and carpal tunnel syndrome: a genome-wide association study. Lancet Rheumatol. 2022;4(8):e556–e565. DOI: https://doi.org/10.1016/S2665-9913(22)00180-1
Shafaee-Khanghah Y, Akbari H, Bagheri N. Prevalence of carpal tunnel release as a risk factor of trigger finger. World J Plast Surg. 2020;9(2):174–178. https://doi.org/10.29252/wjps.9.2.174 DOI: https://doi.org/10.29252/wjps.9.2.174
Yamazaki A, Matsuura Y, Kuniyoshi K, et al. A1 pulley stretching treats trigger finger: A1 pulley luminal region under digital flexor tendon traction. Clin Biomech (Bristol, Avon). 2020;72:136–140. DOI: https://doi.org/10.1016/j.clinbiomech.2019.11.018
Mifune Y, Inui A, Sakata R, et al. High-resolution ultrasound in the diagnosis of trigger finger and evaluation of response to steroid injection. Skeletal Radiol. 2016;45(12):1661–1667. https://doi.org/10.1007/s00256-016-2485-5 DOI: https://doi.org/10.1007/s00256-016-2485-5
Merry SP, O’Grady JS, Boswell CL. Trigger finger? Just shoot! J Prim Care Community Health. 2020;11:2150132720943345. https://doi.org/10.1177/2150132720943345 DOI: https://doi.org/10.1177/2150132720943345
Meyer MA, Tarabochia MA, Goh BC, et al. The impact of resident involvement on outcomes and costs in elective hand and upper extremity surgery. J Hand Surg. 2022. https://doi.org/10.1016/j.jhsa.2022.02.006 DOI: https://doi.org/10.1016/j.jhsa.2022.02.006
de Boccard O, Müller C, Christen T. Economic impact of anaesthesia methods used in hand surgery: global costs and operating room’s throughput. J Plastic Reconstr Aesthet Surg. 2021;74(9):2149–2155. DOI: https://doi.org/10.1016/j.bjps.2020.12.062
Harris AHS, Meerwijk EL, Kamal RN, et al. Variability and costs of low-value preoperative testing for carpal tunnel release surgery. Anesth Analg. 2019;129(3):804–811. https://doi.org/10.1213/ANE.0000000000004291 DOI: https://doi.org/10.1213/ANE.0000000000004291
Lalchandani GR, Halvorson RT, Rahgozar P, et al. Wide-awake local anesthesia for minor hand surgery associated with lower opioid prescriptions, morbidity, and costs: a nationwide database study. J Hand Surg Glob Online. 2020;2(1):7–12. DOI: https://doi.org/10.1016/j.jhsg.2019.09.011
Assmus H. Carpal tunnel syndrome and stenosing tenosynovitis. Nervenarzt. 2000;71(6):474–476. https://doi.org/10.1007/s001150050609 DOI: https://doi.org/10.1007/s001150050609
Hombal JW, Owen R. Carpal tunnel decompression and trigger digits. Hand. 1970;2(2):192–196. DOI: https://doi.org/10.1016/0072-968X(70)90022-7
Goshtasby PH, Wheeler DR, Moy OJ. Risk factors for trigger finger occurrence after carpal tunnel release. Hand Surg. 2010;15(2):81–87. https://doi.org/10.1142/S0218810410004606 DOI: https://doi.org/10.1142/S0218810410004606
Nosewicz J, Cavallin C, Cheng C-I, et al. Factors associated with trigger digit following carpal tunnel release. World J Orthop. 2019;10(12):454–462. DOI: https://doi.org/10.5312/wjo.v10.i12.454
Ferree S, Neuhaus V, Becker SJ, et al. Risk factors for return with a second trigger digit. J Hand Surg Eur Vol. 2014;39(7):704–707. https://doi.org/10.1177/1753193412469129 DOI: https://doi.org/10.1177/1753193412469129
Grandizio LC, Beck JD, Rutter MR, et al. The incidence of trigger digit after carpal tunnel release in diabetic and nondiabetic patients. J Hand Surg. 2014;39(2):280–285. https://doi.org/10.1016/j.jhsa.2013.10.023 DOI: https://doi.org/10.1016/j.jhsa.2013.10.023
Acar MA, Kütahya H, Güleç A, et al. Triggering of the digits after carpal tunnel surgery. Ann Plast Surg. 2015;75(4):393–397. https://doi.org/10.1097/SAP.0000000000000233 DOI: https://doi.org/10.1097/SAP.0000000000000233
Lin F-Y, Manrique OJ, Lin C-L, et al. Incidence of trigger digits following carpal tunnel release: a nationwide, population-based retrospective cohort study. Medicine (Baltimore). 2017;96(27):e7355. https://doi.org/10.1097/MD.0000000000007355 DOI: https://doi.org/10.1097/MD.0000000000007355
Ashmead Dt, Okada H, Macknin J, et al. Trigger fingers after open carpal tunnel release. Plast Surg (Oakv). 2020;28(4):192–195. https://doi.org/10.1177/2292550320928554 DOI: https://doi.org/10.1177/2292550320928554
Chammas M, Bousquet P, Renard E, et al. Dupuytren’s disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus. J Hand Surg. 1995;20(1):109–114. https://doi.org/10.1016/S0363-5023(05)80068-1 DOI: https://doi.org/10.1016/S0363-5023(05)80068-1
Lee HI, Lee JK, Yoon S, et al. Carpal tunnel release can be a risk factor for trigger finger: National Health Insurance data analysis. Int Orthop. 2022;46(4):867–873. https://doi.org/10.1007/s00264-022-05312-5 DOI: https://doi.org/10.1007/s00264-022-05312-5
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Péter Sallai, Barbara Sebők, Luca Hergár, Judit Réka Hetthéssy
This work is licensed under a Creative Commons Attribution 4.0 International License.
Acta Chirurgica Scandinavica Society owns the copyright for all material published until Volume 57 (2023) unless otherwise specified. As from 2024 all published articles, unless otherwise specified, are published under CC-BY licences, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, with the condition of proper attribution to the original work.
