{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:40:37Z","timestamp":1791463237489,"version":"4.3.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,12,21]],"date-time":"2016-12-21T00:00:00Z","timestamp":1482278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>The aim of this systematic review was to develop an evidence-based guideline to assist clinicians in the treatment of adult trigger digits. There is moderate evidence to suggest that local corticosteroid injection is a safe and effective short-term treatment and it may, therefore, be recommended as an initial treatment for this condition. However, when compared with surgery, there is strong evidence that corticosteroid injection is associated with increased rates of ongoing or recurrent symptoms at 6\u2009months after intervention. There is strong evidence suggesting that trigger digit can be managed safely by surgical release. There is weak evidence to support the use of splinting or other non-operative modalities. Hence a single corticosteroid injection may be offered as the first line in treatment of adult trigger digits, but percutaneous release is a safe alternative. Surgery should be the next line if the injection fails, symptoms recur or the patient chooses.<\/jats:p>\n                  <jats:p>Level of evidence: I<\/jats:p>","DOI":"10.1177\/1753193416682917","type":"journal-article","created":{"date-parts":[[2017,1,27]],"date-time":"2017-01-27T23:10:38Z","timestamp":1485558638000},"page":"473-480","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":49,"title":["Evidence-based management of adult trigger digits"],"prefix":"10.1177","volume":"42","author":[{"given":"R.","family":"Amirfeyz","sequence":"first","affiliation":[{"name":"Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"McNinch","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Watts","sequence":"additional","affiliation":[{"name":"Upper Limb Unit, Wrightington Hospital, Wigan, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Plastics and Reconstructive Surgery, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. R. C.","family":"Davis","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Queen\u2019s Medical Centre, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Glassey","sequence":"additional","affiliation":[{"name":"Hand Unit, Queen\u2019s Medical Centre, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Bullock","sequence":"additional","affiliation":[{"name":"Hand Unit, Queen\u2019s Medical Centre, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,12,21]]},"reference":[{"key":"bibr1-1753193416682917","first-page":"199","volume":"93","author":"Bamroongshawgasame T.","year":"2010","journal-title":"J Med Assoc Thai"},{"key":"bibr2-1753193416682917","unstructured":"Cameron M. Physical agents in rehabilitation: from research to practice. Philadelphia, WB Saunders, 1999: 149\u201373."},{"key":"bibr3-1753193416682917","volume-title":"Diagnosis and treatment manual for physicians and therapists","author":"Cannon N","year":"1991","edition":"3"},{"key":"bibr4-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.09.006"},{"key":"bibr5-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408100961"},{"key":"bibr6-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2008.05.001"},{"key":"bibr7-1753193416682917","first-page":"260","volume":"83","author":"Creighton J","year":"1990","journal-title":"Indiana Med"},{"key":"bibr8-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e31817f289a"},{"key":"bibr9-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(88)80049-8"},{"key":"bibr10-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.24967"},{"key":"bibr11-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.09.023"},{"key":"bibr12-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/81.6.1206"},{"key":"bibr13-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(92)90014-S"},{"key":"bibr14-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(98)80039-2"},{"key":"bibr15-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00172-4"},{"key":"bibr16-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9493-x"},{"key":"bibr17-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80280-1"},{"key":"bibr18-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90124-8"},{"key":"bibr19-1753193416682917","first-page":"CD005617","volume":"21","author":"Peters-Veluthamaningal C","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr20-1753193416682917","first-page":"614","volume-title":"Principles of hand surgery and therapy","author":"Recor C","year":"2010"},{"key":"bibr21-1753193416682917","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19980301-13"},{"key":"bibr22-1753193416682917","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00693"},{"key":"bibr23-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.10.013"},{"key":"bibr24-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1177\/1753193411415343"},{"key":"bibr25-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ker315"},{"key":"bibr26-1753193416682917","unstructured":"Scottish Intercollegiate Guidelines Network (SIGN). SIGN 50: A guideline developer\u2019s handbook. Edinburgh: SIGN, 2015. http:\/\/www.sign.ac.uk\/pdf\/sign50.pdf (date accessed 19 October 2016)."},{"key":"bibr27-1753193416682917","first-page":"951","volume":"74","author":"Strom L.","year":"1977","journal-title":"J Med Soc NJ"},{"key":"bibr28-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.10.038"},{"key":"bibr29-1753193416682917","first-page":"CD009860","volume":"6","author":"Ventin FC","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr30-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2716-6"},{"key":"bibr31-1753193416682917","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00004"},{"key":"bibr32-1753193416682917","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410381824"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193416682917","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193416682917","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193416682917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:46Z","timestamp":1777502866000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193416682917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,21]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1177\/1753193416682917"],"URL":"https:\/\/doi.org\/10.1177\/1753193416682917","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,21]]}}}