Best Practice Case Studies-Hand

Pdf Summary

The document provides answers and explanations for two study questions related to trigger finger, highlighting risk factors and treatment evidence.

<strong>Study Question #1</strong> asks which of the following is not a risk factor for trigger finger: A) Female gender, B) Diabetes, C) Age 40-60, D) Moderate alcohol use, E) Amyloid disease. The correct answer is D. Moderate alcohol use. While alcohol abuse is linked to poor response to treatment and potential progression to surgery, moderate use is not identified as a direct risk factor for the condition. Trigger finger is most common in women aged 40-60 and can affect any finger, though the ring and middle fingers are most frequently impacted. Known risk factors include diabetes mellitus, rheumatoid arthritis, and conditions like amyloidosis. Repetitive movements and trauma can also contribute to its development.

<strong>Study Question #2</strong> inquires about the treatment with level 1 evidence (prospective, randomized, placebo-controlled studies) for long-term effectiveness against trigger finger. Options presented are: A) Physical therapy, B) Corticosteroid injection, C) Splinting, D) Oral nonsteroidal anti-inflammatory medications, E) Laser therapy. The correct answer is B) Corticosteroid injection, which has the strongest evidence supporting its effectiveness. Other treatments are used and show some benefits but lack high-quality evidence.

References from various studies are provided to support the explanations, including works published in journals like the "Journal of Hand Surgery" and "Archives of Physical Medicine and Rehabilitation". These references corroborate the highlight of corticosteroids as an effective treatment option and identify the significant risk factors associated with trigger finger.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 20

Topic Hand

Keywords

trigger finger

risk factors

treatment evidence

corticosteroid injection

study questions

female gender

diabetes

amyloid disease

randomized studies

Journal of Hand Surgery

3rd Edition

3rd Edition, CASE 20

Hand