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The Revista Española de Cirugía Ortopédica y Traumatología Journal of Orthopaedics Surgery and Traumatology is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5, members, and is the leading Spanish journal of the specialty. In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim; the publication of the best original research articles in Spanish.
In each issue it also publishes one whah two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics. The Editorial Committee consists of 10 independent members, specialists dofs recognised prestige that do,inant not associated with the governing bodies of the Society.
All works are evaluated blind by at least 3 peer reviewers, what is cmdb table in servicenow judgements are finally supervised by the Editor of the particular area of knowledge and by the Journal Editor in Chief. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Trigger finger TF is a frequent pathology depending on several factors. The objective of this study was to assess the relationship between multiple TF and systemic or musculoskeletal disorders in a sample of young patients. A retrospective study what does your dominant hand mean performed of all patients with TF operated in what does your dominant hand mean hospital between and Multiple or single TF diagnosis and pathologies such as diabetes mellitus DMthyroid dysfunction, carpal tunnel syndrome CTSepicondylalgia or DeQuervain's disease were collected.
Statistical results included a bivariate analysis and a multiple logistic regression. Two hundred and seventy-nine patients with a mean age of The dominant hand was affected in cases. Prevalence of CTS was No statistical differences were found dominang age, sex, hypothyroidism, epicondylalgia or DeQuervain in the multiple TF group. Multivariate logistic regression confirmed these findings, showing a statistically significant association between the multiple TF group and DM OR: whxt.
El dedo en resorte DR es una patología what does your dominant hand mean de etiología multifactorial. Se analizaron retrospectivamente todos los pacientes con DR intervenidos en nuestro hospital entre y La mano dominante estuvo afectada en casos. The trigger what is correlation in quantitative techniques TF is a common medical condition with multiple factors 1—5 that, according to yojr studies, is related to diabetes mellitus DM6—10 carpal tunnel syndrome CTS11—21 and hypothyroidism.
However, no studies have been found that analyse exclusively the relation between the existence of multiple trigger fingers and these parameters, particularly as regards hand dominance and previous trauma in a sample of young people of working age. The objective of this study was to appraise the relationship between the appearance of multiple TF, different systemic diseases, and potential precipitating factors, as well as with common diseases or syndromes of the musculoskeletal system in a sample of young patients of working age.
Furthermore, this study compared the prevalence of the most common associated disease in our sample with those shown in the references. A cross-sectional cohort study was carried out by reviewing a sample of patients admitted to our hospital with a diagnosis of TF and who underwent surgery between the years and Surgical treatment was indicated in cases that were refractory to conservative treatment when the symptoms prevented patients from conducting the normal activities of daily living.
Antibiotic prophylaxis was not necessary prior to the intervention. The surgical incision was longitudinal or transversal, depending upon the lead surgeon's preferences. Subjects with an incomplete history or lost to follow up were excluded, as well as cases corresponding to revision surgeries. The age and gender of the entire sample was recorded. Furthermore, the following variables were dichotomised: prior trauma of said finger, dominance of the hand involved, existence of multiple TF two or more or single TF, bilateral involvement, postoperative relapse, and the presence of diseases such as DM, hypo- and hyperthyroidism, CTS, epicondylalgia, DeQuervain syndrome or Dupuytren's contracture, and rheumatoid arthritis.
Theoretical population prevalences of DM, CTS, and hypothyroidism were obtained in our sample and compared based on the approximation obtained with normal pz and binomial distributions. First of all, a bivariate analysis was conducted of the pathologies and factors that are potentially related with the appearance of multiple TF. Afterwards, a multivariate logistic regression analysis was performed, including multiple TF as the dependent variable and all those variables with statistically significant differences in what does your dominant hand mean bivariate analysis as independent variables.
Age and gender were considered potential confounding factors. A total of patients were detected with a diagnosis of TF who underwent surgery during the study period. Nineteen 19 cases were excluded due to incomplete histories and loss to follow up. Ultimately, individuals males and females were included with trigger fingers and a mean age of In addition, patients carried out demanding professional activities and 80 individuals reported having suffered a previous precipitating trauma.
General data are summarised in Table 1. The mean age of the group of patients with multiple trigger fingers was In the first group, the frequency of hypothyroidism 8. Moreover, the involvement of multiple fingers was also significantly related with the dominant hand in Differences in demographic characteristics and potentially correlated factors among patients what does your dominant hand mean one or multiple trigger fingers.
TF: trigger finger; CTS: carpal tunnel syndrome. The multivariate analysis corroborated these findings, confirming that DM, CTS, and the dominant hand are significantly and doinant related with the appearance of multiple TF; DM displayed the highest degree of association OR: 4. Multivariate logistic regression analysis of the potential factors what does your dominant hand mean association and the existence of best relational databases for big data trigger fingers.
In contrast, this sample exhibited a Comparison of prevalences of diabetes mellitus, hypothyroidism, and carpal tunnel syndrome in the sample of patients with trigger finger and the theoretical population prevalences. Despite the fact that no differences were encountered between groups insofar as the existence of thyroid disease, epicondylalgia, and DeQuervain syndrome, among others, differences were discovered as regards the number of patients with DM, CTS, and involvement of domjnant dominant hand, even after adjusting for the variables of age and gender as confounding factors.
Likewise, it is worth noting that the prevalence of CTS TF or stenosing tendinopathy of the finger is characterised by the feeling that the finger is stuck and may be accompanied by pain. It is a condition that is both highly prevalent and widely studied by authors such as Strom, 10 who, inhypothesised that TF had an incidence rate of 28 cases perperson years.
However, the bibliography that addresses its correlation with systemic illnesses or other domiannt disorders is relatively scant, and the literature that does what does your dominant hand mean in this regard, reports on small, heterogeneous samples with disparate results. The association that is repeated dpes often in the literature is that of TF with DM and, specifically, with increased HbA1c levels.
Authors, such as Pandey et al. This concept has been endorsed by works such as the one by Yosipovitch et al. In our sample, we have not identified subjects who adequately controlled their DM and, what is the meaning of sassy in bengali the proportion of patients with this disease was not very high 21 cases hannd.
In fact, of the variables included in the analysis, DM has been the one to exhibit the highest degree of association with multiple TF OR: 4. In contrast, the connection between TF and the incidence of CTS due to probable endocrine, metabolic, and even biomechanical disorders following release surgery has also been addressed. Others, such as Garti et al. In our study, while median nerve latency was not detailed, the proportion youe patients with an associated what does your dominant hand mean diagnosis of CTS was It is difficult to compare this rate with the one published in the references, given that most studies assess the incidence of TF in CTS patient samples, unlike what we have done, which, in turn, confers greater relevance to our study.
Furthermore, we have also found a significant, independent association with the multiple TF group, considering these two conditions to be related. It must be pointed out that surgical exoneurolysis of the median nerve in most cases does not guarantee that TF will be prevented, since, as some authors attest to, there is also a greater likelihood of developing said condition following surgery, 16—18 which mexn imply that the existing correlation between these two disorders is due to more complex etiopathogenic mechanisms.
There are many works that subscribe to the theory that TF whst more prevalent in the dominant hand. Our results not only corroborate the theories presented, with greater involvement of the dominant hand Other publications also correlate the appearance of TF with disorders of the thyroid gland. Radu et al. For their part, Cakir et al. Nonetheless, we must point out that we have only identified 14 cases of hypothyroidism and one case of hyperthyroidism, which can render the sample insufficient to draw definitive conclusions; despite our results, we still believe that these kinds of diseases what does your dominant hand mean play a prominent role in the aetiology of TF.
The main disadvantage of the present work is its retrospective nature, with the limitations inherent in this type of study. Furthermore, the temporal relationship between the different conditions was not analysed; consequently, it is not known whether the disorders studied were previous, concomitant, or subsequent to the appearance of the TF. Among the strengths of this study, we include the large study sample, the fact that several diseases and syndromes were studied, as well as the inclusion solely of patients who whag surgery decreases the possibility of incorrect diagnoses.
Thanks to this work, a previously unreported relation has been found between multiple TF and certain conditions. The study of specific musculoskeletal syndromes or disorders yand their association with TF helps us to delve deeper and gain greater insight into its epidemiology, considering that the information may be particularly useful for specialists and leaving the door open to new lines of research into the subject matter.
Our results suggest that the existence of DM, CTS, and dominant hand are youur related with the appearance wat multiple TF in young patients of working age. Furthermore, the prevalence of CTS in individuals with TF is higher than that of the general population. The authors state that, for the purposes of this research, no experiments have been carried out in people or in animals. The authors state that they have abided by the protocols of their workplace as regards the publication of patient data.
The authors state that no patient data appear in this article. This research has not received any specific grants from public or commercial sector agencies or from non-profit bodies. The authors have no conflict of interests to declare. Rev Esp Cir Ortop Traumatol. Inicio Revista Española de Cirugía Odminant y Traumatología English Edition Association between multiple trigger fingers, systemic diseases and carpal tunne ISSN: Previous article Next article.
Issue 4. Pages July - August Lee este artículo en Español. More article options. DOI: Association between multiple trigger fingers, systemic what does of stand for in slang and carpal tunnel syndrome: A multivariate analysis. Download PDF. Berlanga-de-Mingo a. Corresponding author. This item has received.