ISSN 2458-7834
 

Original Article 


Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition

Bilgehan Çatal, Ulaş Akgün, Oğuzhan Çimen, İlknur Türkmen, İbrahim Azboy.

Abstract
Objectives: The aim of this study was to investigate the amyloid deposition in patients with trigger finger disease, to analyze the factors affecting amyloid deposition. In addition, we aimed to research the presence of cardiac amyloidosis in patients with amyloid deposition in flexor pulleys.
Methods: Consecutive 68 patients with trigger finger treated by open release between September 2018 and November 2019 in two different hospitals were included in this study. Idiopathic trigger fingers were solely included. Patients with systemic rheumatoid diseases, chronic renal failure under hemodialysis, gout, tuberculous synovitis and previously diagnosed systemic amyloidosis including familial amyloid poly- neuropathy or multiple myeloma, pregnant patients, patients who were previously had steroid injected injections were excluded. Demographic data, other concomitant diseases and previous carpal tunnel surgeries were recorded. Immunoperoxidase and immunofluorescence methods were used to determine the amyloid presence and subtype in pathological A1 pulley specimens. Patients with amyloid deposition in biopsy specimen were further evaluated for cardiac involvement of amyloidosis.
Results: The study population consisted of 18 men and 50 women with a mean age of 57,6 ± 12,2 years. Of 68 patients with trigger finger, 6 (8,8%) showed amyloid deposition in the tenosynovial tissue; and all amyloid deposits were specifically immunolabeled only with the anti-TTR antibody. No evidence of cardiac amyloidosis is found in patients with localized amyloid deposition.
Conclusion: Hand surgeons should be aware of the association trigger finger and amyloidosis and consider biopsy of tenosynovial tissue particularly in patients with older age, DM, prior carpal tunnel release surgery and multi-finger involvement. Tenosynovial biopsy is a low-risk procedure that may guide to cardiologic examination of patients with positive biopsy and it will contribute to early diagnosis of cardiac amyloidosis.

Key words: amyloidosis, cardiac, trigger finger


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Bilgehan Çatal
Articles by Ulaş Akgün
Articles by Oğuzhan Çimen
Articles by İlknur Türkmen
Articles by Ä°brahim Azboy
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Catal B, Akgun U, Cimen O, Turkmen Ä, ÄA, . Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition. Hand Microsurg. 2020; 9(3): 120-127. doi:10.5455/handmicrosurg.90803


Web Style

Catal B, Akgun U, Cimen O, Turkmen Ä, ÄA, . Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition. https://handmicrosurgeryjournal.com/?mno=90803 [Access: January 10, 2024]. doi:10.5455/handmicrosurg.90803


AMA (American Medical Association) Style

Catal B, Akgun U, Cimen O, Turkmen Ä, ÄA, . Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition. Hand Microsurg. 2020; 9(3): 120-127. doi:10.5455/handmicrosurg.90803



Vancouver/ICMJE Style

Catal B, Akgun U, Cimen O, Turkmen Ä, ÄA, . Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition. Hand Microsurg. (2020), [cited January 10, 2024]; 9(3): 120-127. doi:10.5455/handmicrosurg.90803



Harvard Style

Catal, B., Akgun, U., Cimen, O., Turkmen, Ä., , Ä. A. & (2020) Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition. Hand Microsurg, 9 (3), 120-127. doi:10.5455/handmicrosurg.90803



Turabian Style

Catal, Bilgehan, UlaÅŸ Akgun, OÄŸuzhan Cimen, Ä°lknur Turkmen, Ä°brahim Azboy, and . 2020. Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition. Hand and Microsurgery, 9 (3), 120-127. doi:10.5455/handmicrosurg.90803



Chicago Style

Catal, Bilgehan, UlaÅŸ Akgun, OÄŸuzhan Cimen, Ä°lknur Turkmen, Ä°brahim Azboy, and . "Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition." Hand and Microsurgery 9 (2020), 120-127. doi:10.5455/handmicrosurg.90803



MLA (The Modern Language Association) Style

Catal, Bilgehan, UlaÅŸ Akgun, OÄŸuzhan Cimen, Ä°lknur Turkmen, Ä°brahim Azboy, and . "Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition." Hand and Microsurgery 9.3 (2020), 120-127. Print. doi:10.5455/handmicrosurg.90803



APA (American Psychological Association) Style

Catal, B., Akgun, U., Cimen, O., Turkmen, Ä., , Ä. A. & (2020) Trigger Finger and Amyloid Cardiomyopathy, Usual Suspect; Amyloid Deposition. Hand and Microsurgery, 9 (3), 120-127. doi:10.5455/handmicrosurg.90803





Most Viewed Articles
Most Accessed Articles

  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract » doi: 10.5455/handmicrosurg.1577

  • MunchausenÂ’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
    Top Downloaded Articles

  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love signÂ’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Most Cited Articles
    Most Cited Articles