Total Active Motion Among Filipinos 40-60 Years Old Who Are Known and Not Known Diabetics After a Surgical Release of Trigger Finger: A Prospective Study

Sotero M. Ramos, III, M.D.

Background. Stenosing tenosynovitis is the inhibition of smooth tendon gliding due to mechanical impingement at the level of the A1, hence limiting the activities of daily living. It usually occurs in 2-3% of the general population and 10% among diabetics. This study aims to compare the TAM of patients with trigger finger who are known diabetic to those who are not known diabetic preoperatively and postoperatively.

Methodology. Patients 40-60 years of age with a unilateral and solitary trigger finger with and without history of diabetes mellitus (DM) were included in the study. Total active motion (TAM) of the affected finger and the contralateral finger were measured preoperatively. Patients were indicated for trigger finger release and were referred to rehabilitation for active range of motion exercises. TAM of the affected finger was measured at 4th, 8th and 12thweek postoperatively and was compared to the TAM of the contralateral finger using the American Society of Surgery of the Hand evaluation system and was recorded as TAM percentage (TAM%).

Results. 319 participants were included and analyzed in this study; 111 (34%) are known diabetics and 208 (65%) are not known diabetics. There was a significant difference in preoperative TAM between known diabetics and not known diabetics. There is no significant difference between in postoperative TAM between the known and the not known diabetics.

Conclusion. Correlation could not be made between a decrease in postoperative total active motion and diabetes as this study showed that there is no significant difference between the two groups that were analyzed. Including a fasting blood sugar as a screening tool could have improved this aspect. Moreover, physical therapy does have a role in improving the range of motion of the fingers postoperatively.