Incidence and Risk factors of Failure in Conservative Treatment of Trigger Fingers in Cha-Am Hospital
Keywords:
trigger finger, failure of conservative treatment, risk factorsAbstract
Objective: The aim was to evaluate the incidence and risk factors of failure of conservative treatment in patients with trigger fingers at Cha-am Hospital, Phetchaburi.
Methods: This was a retrospective analytical study. We collected data from electronic medical records of Cha-am Hospital from January 1, 2015 to June 30, 2024. All patients were diagnosed with trigger fingers by orthopedic surgeons. Data recorded included age, gender, occupation, body mass index, comorbidities, CTS, number of affected fingers, number of steroid injections, and physical therapy. The data were analyzed by using frequency, percentage, mean, standard deviation, t test independent, chi-square test; and odds ratio was determined between the failed conservative treatment group and successful treatment group using binary logistic regression with 95% confidence interval.
Results: A total of 214 patients was included. The incidence of failure of conservative treatment was 35.5%. Patients with trigger finger thumbs, not receiving steroid injections, or physical therapy were significantly associated with failure of conservative treatment (p < .05). Patients with trigger finger thumbs had a 2.30 time higher risk of failure of conservative treatment, and patients who did not receive physical therapy had a 10.38 time higher risk of failure of conservative treatment. The other factors (age, gender, occupation, body mass index, underlying diseases, CTS, and the number of affected fingers) were not associated with failure of conservative treatment in patients with trigger fingers.
Conclusion: The incidence of failure of conservative treatment in patients with trigger fingers was 35.5% Patients with trigger thumbs and patients not receiving physical therapy are risk factors for failure of conservative treatment. Therefore, physical therapy should be promoted in all patients with trigger fingers and especially in trigger thumbs who should be noted that the disease progression is more likely to fail conservative treatment than other fingers.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
