Primary Negative Prognostic Factors in Pediatric and Adult Patients Undergoing Trigger Finger Surgery

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dc.authoridKarakaplan, Mustafa/0000-0001-9035-0319
dc.authorwosidKarakaplan, Mustafa/IXN-3318-2023
dc.contributor.authorKoroglu, Muhammed
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorYildiz, Mustafa
dc.contributor.authorEren, Mehmet
dc.contributor.authorErgen, Emre
dc.contributor.authorCicek, Ipek Balikci
dc.contributor.authorAslantuerk, Okan
dc.date.accessioned2024-08-04T21:00:54Z
dc.date.available2024-08-04T21:00:54Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives This study aims to investigate the negative prognostic indicators of pediatric and adult trigger finger surgery patients concerning complications, recurrence, and satisfaction. Methods A retrospective study was conducted on 61 patients with a total of 91 trigger fingers, including 31 in children and 30 in adult patients, all of whom were treated using a standardized surgical technique. The study considered several demographic and clinical factors, including age, gender, dominant hand, body mass index, occupation, history of trauma, single or multiple finger involvement, staging according to Green classification, diabetes mellitus, comorbidities, recurrence, revision surgery, utilization of non -surgical treatment methods, need for rehabilitation after surgery, time to return to work, the time interval from clinic initiation to the surgery, satisfaction and the duration of the follow-up period. In addition, the quick version of the disabilities of the arm, shoulder, and hand (QDASH); and the visual analog scale (VAS) were used to assess patients' data. Results In adult patients, a statistically significant relationship was observed between the increasing grade of the Green stage and complication rate (p<0.001), recurrence (p<0.001), and lower satisfaction (p<0.001). No statistically significant relationship was identified between Green's classification and complications (p=0.129), recurrence (p=0.854), or satisfaction (p=0.143) in pediatric patients. While a statistically significant relationship existed between the time interval from clinic initiation to surgery and complications (p=0.033) in adult patients, no significant relationships were observed for recurrence or satisfaction. Conversely, there was no statistically significant relationship between the time interval from clinic initiation to surgery and complications, recurrence, or satisfaction in pediatric patients. Conclusion This study demonstrates that increasing the grade of the Green stage and duration of symptoms before surgery were the substantial factors contributing to prognosis in adult patients but not in pediatric patients. These findings can assist physicians during patients' treatment management. We suggest that physicians consider these factors for patients' satisfaction.en_US
dc.identifier.doi10.7759/cureus.55281
dc.identifier.issn2168-8184
dc.identifier.issue2en_US
dc.identifier.pmid38558643en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.55281
dc.identifier.urihttps://hdl.handle.net/11616/103914
dc.identifier.volume16en_US
dc.identifier.wosWOS:001200310000018en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringernatureen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectpediatricen_US
dc.subjectpatient prognosisen_US
dc.subjectduration of symptomsen_US
dc.subjectgreen classificationen_US
dc.subjecta1 pulley releaseen_US
dc.subjecttrigger fingeren_US
dc.titlePrimary Negative Prognostic Factors in Pediatric and Adult Patients Undergoing Trigger Finger Surgeryen_US
dc.typeArticleen_US

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