Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 3 Issue 7

Outcomes of Outpatient Percutaneous Release of Trigger Finger

Jayesh Vaza, Pathik Vala*, Rutvik Shah and Kuldeep Parmar

Department of Orthopedics, LG Hospital, Ahmedabad, India

*Corresponding Author: Pathik Vala, Assistant Professor, Department of Orthopedics, LG Hospital, Ahmedabad, India.

Received: May 16, 2020; Published: June 12, 2020

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Abstract

Introduction: Trigger finger is caused by stenosing tenosynovitis, resulting in painful catching of the involved flexor tendon as the patient flexes and extends the digit. Treatments include Nonsteroidal anti-inflammatory drugs (NSAIDs), splinting, corticosteroid injection, open and percutaneous release.

Aim of the Study: The aim of this study was to evaluate the results of percutaneous trigger finger release using 18G hypodermic needle.

Materials and Methods: A prospective study of 80 patients for treatment of trigger finger by percutaneous release by 18G needle was conducted at L.G Medical college and hospital, Ahmedabad, Gujarat between 1st January 2019 to 31st December 2019. Written Consent was obtained for Surgery. Patients were followed up in opd on 1st week, 1 month, 3rd month, 6th month, 12th month and evaluated for complications and re- occurrence of symptoms.

Results: A total of 80 patients with trigger fingers were included in this study, out of which 10 patients did not follow up on time. Successful release was achieved in 68/70 (97.14%) patients. There was no patient who experienced any issues like nerve injury, wound complications, decreased sensation and tendon bowstringing.

Conclusion: Our review showed that this technique for release of trigger finger is less costly technique with more patient oriented, less complications and better recovery rate. This is a day care procedure.

Keywords: Day Care Procedure; Trigger Thumb; Trigger Finger; Hypodermic Needle

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References

  1. Drossos K., et al. “Correlations Between Clinical Presentations of Adult Trigger Digits and Histologic Aspects of the A1 Pulley”. Journal of Hand Surgery (2009).
  2. Findings P. “Trigger Finger. Lippincott's Primary Care Orthopaedics”. Philadelphia: Lippincott Williams and Wilkins (2008): 273.
  3. Allan C. “Flexor tendons: anatomy and surgical approaches”. Hand Clinics 2 (2005): 151-157.
  4. Saldana M. “Trigger digits: diagnosis and treatment”. The Journal of the American Academy of Orthopaedic Surgeons 4 (2001): 246-252.
  5. Marcus A., et al. “Treating trigger finger in diabetics using excision of the ulnar slip of the flexor digitorumsuperficialis with or without A1 pulley release”. Hand 4 (2007): 227-231.
  6. Ballantyne J and Hooper G. “The hand and diabetes”. Current Orthopaedics 2 (2004): 118-125.
  7. Fitzgerald B., et al. “Gout Affecting the Hand and Wrist”. The American Board of Orthopaedic Surgery 10 (2007): 625.
  8. Makkouk A., et al. “Trigger finger: etiology, evaluation, and treatment”. Current Reviews in Musculoskeletal Medicine 2 (2008): 92-96.
  9. Cebesoy O., et al. “Percutaneous release of the trigger thumb: is it safe, cheap and effective?” International Orthopaedics 3 (2007): 345-349.
  10. Ryzewicz M and Wolf JM. “Trigger digits: principles, management, and complications”. Journal of Hand Surgery 1 (2006): 135-146.
  11. Lee WT and Chong AK. “Outcome study of open trigger digit release”. The Journal of Hand Surgery European 4 (2011): 339.
  12. Cakmak F., et al. “Follow-up investigation of open trigger digit release”. Archives of Orthopaedic and Trauma Surgery 5 (2012): 685-691.
  13. Will R and Lubahn J. “Complications of open trigger finger release”. The Journal of Hand Surgery American 4 (2010): 594-596.
  14. Slesarenko Y., et al. “Percutaneous release of A1 pulley”. Techniques in Hand and Upper Extremity Surgery 1 (2006): 54.
  15. Kerrigan C and Stanwix M. “Using Evidence to Minimize the Cost of Trigger Finger Care”. Journal of Hand Surgery 6 (2009): 997-1005.
  16. Webb J and Stothard J. “Cost minimisation using clinic-based treatment for common hand conditions a prospective economic analysis”. Annals of the Royal College of Surgeons of England 2 (2009): 135-139.
  17. Lorthioir J and Belgium B. “Surgical treatment of trigger-finger by a subcutaneous method”. Journal of Bone and Joint Surgery American 4 (1958): 793-795.
  18. Eastwood DM., et al. “Percutaneous release of the trigger finger: an office procedure”. Journal of Hand Surgery 1 (1992): 114-117.
  19. Pope DF and Wolfe SW. “Safety and efficacy of percutaneous trigger finger release”. The Journal of Hand Surgery American 2 (1995): 280-283.
  20. Amrani A., et al. “Percutaneous trigger release in children: 63 cases”. Chirurgie de la Main 2 (2011): 102-104.
  21. Ha KI., et al. “Percutaneous release of trigger digits: a technique and results using a specially designed knife”. The Journal of Bone and Joint Surgery British 83 (2001): 75-77.
  22. Sahu RL and Gupta P. “Experience of percutaneous trigger finger release under local anesthesia in the medical college of Mullana, Ambala, Haryana”. Annals of Medical and Health Science Research 5 (2015): 806-809.
  23. Lalonde D and Martin A. “Epinephrine in local anesthesia in finger and hand surgery: the case for wide-awake anesthesia”. The Journal of the American Academy of Orthopaedic Surgeons 8 (2013): 443-447.
  24. Elsayed MM. “Percutaneous release of trigger finger”. The Egyptian Orthopaedic Journal 3 (2013): 277.
  25. Diab RA. “Percutaneous release of trigger finger”. Journal of Orthopaedic Surgery 2 (2015): 241-242.
  26. Wolfe SW., et al. “Green’s operative hand surgery”. 6th Philadelphia: Elsevier Churchill Livingstone (2011): 2076.
  27. Guler F., et al. “Open versus percutaneous release for the treatment of trigger thumb”. Orthopedics10 (2013): e1290-e1294.
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Citation

Citation: Pathik Vala., et al. “Outcomes of Outpatient Percutaneous Release of Trigger Finger". Acta Scientific Orthopaedics 3.7 (2020): 09-13.




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