FIRST EXPERIENCES ON PERCUTANEOUS TRIGGER FINGER RELEASE
DOI:
https://doi.org/10.6016/ZdravVestn.2296Keywords:
pulley, needle releaseAbstract
Background. Trigger digits can be treated surgically using an open or percutaneous technique. Although the latter has been known for almost fifty years a renewed interest has emerged in the last decade when it proved to be equal to open technique. Twenty four patients were treated by percutaneous release under local anethesia using a 21 gauge needle in the last year with the mimimum follow up of two months. One patient was lost to follow up. Of the remaining 23 patients with 24 trigger digits 19 (82.6%) had complete relief of their symptoms. Twenty digits (83.3%) were successfuly released. In four digits (16.7%) the symptoms recurred. There were no lesions of important anatomic structures.
Conclusions. Percutaneous trigger finger release is simple, reliable and cheap. The learning curve is steep.
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References
Kolind-Sorensen V. Treatment of trigger fingers. Acta Orthop Scand 1970; 41: 428–2.
Chammas M, Bousquet P, RenardE, PoirierJ, JAffiolC, AllieuY. Dupuytren’s disease, carpal tunnelsyndrome, trigger finger and diabetes mellitus. J Hand Surg 1995; 20A: 109–14.
Conklin JE, WhiteWL. Stenosin tenosynovitis and its possible relation to the carpal tunnel syndrome. Surg Clin North AM 1960; 40: 531–41.
Benson LS, Ptaszek AJ. Injection versus surgery in treatment of trigger finger. J Hand Surg 1997; 22A: 138–44.
Turowski GA, Zdankiewitz PD, Thompson JG. The results of surgical treatment of trigger finger. J Hand Surg 1997; 22A: 145–9.
Patel MR, Bassini L. Trigger fingers and thumb: when to splint, inject, or operate. J Hand Surg 1992; 17A: 110–3.
Thorpe AP. Results of surgery for trigger finger. J Hand Surg 1988; 13B: 199–201.
Lorthioir J. Surgical treatment of trigger finger by subcutaneous method. J Bone Joint Surg 1958; 40A: 793–5.
Patel MR, Moradia VJ. Percutaeous release of trigger digit with and without cortisone injection. J Hand Surg 1997; 22A: 150–5.
Tanaka J, Muraji H, Negoro H, Yamashita T, Nakano K. Subcutaneous release of trigger thumb and fingers in 210 fingers. J Hand Surg 1990; 15B: 463–5.
Bain GI, Turnbull J, Charles MN, Roth JH, RIchards RS. Percutaneous A1 pulley release: a cadaveric study. J Hand Surg 1995; 20A: 781–4.
Pope DF, Wolfe SW. Safety and efficacy of percutaneous trigger finger release. J Hand Surg 1995; 20A: 280–3.
Eastwood DM, Gupta MB, Johnson DP. Percutaneous release of the trigger finger: an office proscedure. J Hand Surg 1992; 17A: 114–4.
Blumberg N, Arbel R, Dekel S. Percutaneous release of trigger fingers. J Hand Surg 2001; 26: 256–7.
Heithoff SJ, Millender LH, Hellman J. Bowstringing as a complication of trigger finger release. J Hand Surg 1988; 13: A567–70.
Bonnici AV, Spencer JD. A survey of trigger finger in adults. J Hand Surg 1988, 13B: 202–3.
Stothard J, Kumar A. A safe percutaneous procedure for trigger finger release. J R Coll Sturg Edinb 1994; 39: 116–7.
Lyu SR. Closed division of the flexor tendon sheath for trigger finger. J Bone Joint Surg 1992; 74B: 418–20.
Gilberts EC, Werdelsma JC. Long-term results of percutaneous and open surgery for trigger fingers and thumbs. Int Surg 2002; 87: 48–52.
Gilberts EC, Beekman WH, Stevens HJ, Werdelsma JC. Prospective randomizen trial of open versus percutaneous surgery for trigger fingers. J Hand Surg 2001; 26: 497–500.
Dunn MJ, Pess GM. Percutaneous trigger finger release: a comparison of a new push knife and a 19-gauge needle in a cadaveric model. J Hand Surg 1999; 24: 860–5.
Wilhelmi BJ, Snyder N, Veerbesey JE, Ganchi PA, Lee WP. Trigger finger release with hand surface landmark ratios: an anatomic and clinical study. Plast Reconstr Surg 2001; 15: 108: 908–15.
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