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Trigger Finger Hand, Pathophisiology and Management Elviena Shaffiranisa; Dinda Puspita Sari; Andhito Rafid Chusaeri; Baiq Ayu Rahmawati; Zhayyin Palna Rial Novsyaini; Tomi Irmayanto
Jurnal Biologi Tropis Vol. 23 No. 1 (2023): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v23i1.5825

Abstract

Trigger finger hand is a stenosing tenosynovitis that occurs in the flexor sheaths of the finger and thumb due to repetitive use. Narrowing of the flexor sheath combined with hypertrophy and inflammation between tendons and sheaths causes trigger finger stenosing tenosynovitis leading to tendon restriction. The purpose of this literature review to provide an update regarding the pathophysiology and management of trigger finger. This literature study using search engines including Pubmed, ScienceDirect, NCBI, and Google Schoolar. In total, 10 sources were used which were obtained from various existing databases. In the treatment of trigger finger, there are non-surgical treatments such as conservative management and conventional management, and surgical management, namely Open release pulley A-1 which is the first line of treatment before medical rehabilitation, medical rehabilitation.
Precocious Puberty: Etiology and Current Treatment Jihan Alifa Rahma; Adinda Ilsa Maulida; Alma Dyah Perwita; Baiq Ayu Rahmawati; Clara Nadila; Herodya Lajunee Fesmia; Ni Made Utami Wulandari; Zhayyin Palna Rial Novsyaini; Indana Eva Ajmala
Jurnal Biologi Tropis Vol. 23 No. 1 (2023): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v23i1.5926

Abstract

Precocious puberty also known as premature puberty is an abnormal pubertal development that can affect a child's growth and development. The clinical manifestations of precocious puberty are generally diverse and based on etiology are classified into central precocious puberty (GnRH dependent) and peripheral precocious puberty (GnRH independent). The main concern with precocious puberty is that precocious puberty can be a clinical symptom of an underlying serious disease such as a brain tumor, adrenal or gonadal tumor and others. Early identification of etiology plays an important role in prevention, diagnosis, and treatment of this disease. This literature review aims to determine the etiology and current management of precocious puberty. This literature review uses the keywords "Precocious Puberty AND etiology AND treatment" through the National Center for Biotechnology Information (NCBI) and Google Scholar databases. This article uses 11 articles that were used as references in its preparation. In conclusion, it is necessary to know the etiology of precocious puberty using imaging examinations for optimal management and excluding malignant abnormalities. The current treatment for central precocious puberty is GnRH agonists (gold-standard) and surgery in cases of intracranial lesions and peripheral precocious puberty using a combination of androgen antagonists (spironolactone) and aromatase inhibitors (anastrozole, testolactone) and surgery is indicated for gonadal and adrenal tumors. The role of parents is very important in early detection of precocious puberty, because the earlier the therapy, the better the prognosis.