Article

The aim of this study was to achieve consensus on a
multidisciplinary treatment guideline for trigger finger. DESIGN: A European
Delphi consensus strategy was initiated. Systematic reviews reporting on the
effectiveness of surgical and nonsurgical interventions were conducted and used
as an evidence-based starting point for this study. SETTING: In total, 35 experts
(hand therapists and hand surgeons selected by the national member associations
of their European federations and physical medicine and rehabilitation
physicians) participated in the Delphi consensus strategy. MEASUREMENTS: Each
Delphi round consisted of a questionnaire, an analysis, and a feedback report.
RESULTS: After 4 Delphi rounds, consensus was achieved on the description,
symptoms, and diagnosis of trigger finger. The experts agreed that use of
orthoses (splinting), corticosteroid injections, corticosteroid injections plus
use of orthoses, and surgery are suitable treatment options. Relevant details for
the use of orthoses, corticosteroid injections, and surgery were described. Main
factors for selecting one of these treatment options were identified as severity
and duration of the disease and previous treatments received. A relationship
between the severity and duration of the disorder and the choice of therapy was
indicated by the experts and reported on in the guideline. LIMITATIONS: The
results represent a group's opinion at a given point in time. When the evidence
for the effectiveness of interventions increases, experts' opinions will change,
and the guideline should be re-evaluated and adjusted in view of these new
insights. CONCLUSIONS: This multidisciplinary treatment guideline may help
involved therapists and physicians in the treatment of trigger finger and
indicate areas needing additional research.
CI - (c) 2014 American Physical Therapy Association.

Langue : ANGLAIS