Complications of Open Trigger Finger Release

Will, Ryan; Lubahn, John D.

doi:10.1016/j.jhsa.2009.12.040

Cited by 97 publications

(80 citation statements)

References 6 publications

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“…Maximillian C. Soong declares that he has no conflict of interest. [9] 1997 59 6 (10) 1 (1.7) Revision release (1) Vaes [10] 1998 55 10 (18) 0 (0) Finsen [3] 2003 84 16 (19) 2 (2.4) Revision release (1), tenolysis (1) Lim [5] 2007 483 7 (1) 0 (0) Lange-Reiss [4] 2009 305 9 (3) 0 (0) Will [11] 2010 78 24 (31) 2 (2.6) Fistula excision (1) Cakmak [2] 2012 101 6 (6) 3 (3.0) Revision release (1), I&D (2) Bruijnzeel [1] 2012 1598 84 (5) Statement of Human and Animal Rights Approval was obtained from the institutional review board regarding procedures to ensure protection of human rights and informed consent.…”

Section: Discussionmentioning

confidence: 99%

“…Open release is generally considered a simple low-risk procedure, although may result in complications such as persistence, recurrence, prolonged pain, infection, stiffness, flexion contracture, bowstringing, and digital nerve injury [7]. Incidence of such complications varies widely from 1 to 43 % [1][2][3][4][5][8][9][10][11]. Most studies involve small numbers, which limit the ability to generalize findings and to identify risk factors.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Complications of Open Trigger Finger Release

Everding

Bishop

Belyea

et al. 2014

Hand (New York, N,Y.)

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Background Open trigger finger release is generally considered a simple low-risk procedure. Reported complication rates vary widely from 1 to 43 %, mostly based on small studies. Our goal was to determine the incidence of complications in a large consecutive series, while also identifying potential risk factors. Methods All open trigger finger releases performed from 2006 to 2009 by four fellowship-trained hand surgeons at a single institution were retrospectively reviewed. There were 795 digits released in 543 patients. Complications were defined as signs or symptoms requiring further treatment and/or considered unresolved by 1 month postoperatively. Complications requiring operative intervention were regarded as major. Multivariable analysis was performed to determine possible risk factors for complications. Results There were 95 documented complications among 795 digits (12 %). The most common complications involved persistent pain, stiffness, or swelling, persistent or recurrent triggering, or superficial infection. Most were treated nonoperatively with observation, therapy, steroid injection, or oral antibiotics. There were 19 reoperations (2.4 %), mostly including revision release, tenosynovectomy, and irrigation and debridement. Male gender, sedation, and general anesthesia were independently associated with complications, while age, diabetes, hypothyroidism, recent injection, and concurrent procedures were not associated.Conclusions Open trigger finger release is generally a lowrisk procedure, although there is potential for complications, some requiring reoperation. Male gender, sedation, and general anesthesia may be associated with greater risk. Surgeons should be careful to thoroughly discuss the risk of both major and minor complications when counseling patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Complications of Open Trigger Finger Release

Everding

Bishop

Belyea

et al. 2014

Hand (New York, N,Y.)

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“…Most studies regarding the trigger digit are of a retrospective nature [11,[20][21][22][23][24][25][26]29] and to our knowledge, there is only one study describing the full course of a postoperative follow-up [30].…”

Section: Discussionmentioning

confidence: 99%

“…The open release of the A 1 pulley is the surgical treatment of choice when conservative treatment fails and a permanent resolution of symptoms is desired. To date, there are only few studies reporting on the clinical results of this surgical procedure [20][21][22][23][24][25][26]. Most of these studies are of a retrospective nature.…”

Section: Introductionmentioning

confidence: 99%

Follow-up investigation of open trigger digit release

Cakmak¹,

Wolf

Brückner

et al. 2011

Arch Orthop Trauma Surg

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Open trigger digit release constitutes an adequate low-risk surgical procedure for treatment of trigger digit. In this study, we could show that the incidence of this disease is not significantly correlated with the manual strain, trauma, BMI, hand dominance or concomitant diseases like diabetes mellitus, rheumatoid arthritis, renal insufficiency, and hypothyroidism. Additionally, this study illustrates the importance of a careful postoperative follow-up treatment to avoid potential persistent functional limitations.

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“…Will et al 13 reported 3% major complications such as synovial fistula and arthrofibrosis, 28% minor complications such as erythema, scar tissue, stiffness and loss of range of motion.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous release of trigger finger: An easy and safe procedure

2020

IJOS

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Introduction: Trigger finger is caused by irritation of the flexor tendon as it slides t hrough the fibro-osseous sheath. Its surgical options include open and percutaneous minimally invasive methods. Aim: This study is aimed at elucidating the efficacy of percutaneous release of trigger finger. Materials and Methods: This is a prospective study carried out in our institution Shri Guru Ram Rai M edical College Dehradun, India over a period of 2 years from June 2015 to august 2017. This study includes 68 trigger finger and thumb of 58 patients between 28 to 64 years. Here percutaneous trigger finger release of A1 pulley was done with the help of 18G hypodermic needle under local anaesthetic cover as a day care procedure. Subsequently the patient was followed up at least for 3 months. Results: Symptoms were resolved completely in all patients. None had any serious complication. Only a few patients had minor temporary wound related complicationsand temporary stiffness. Conclusions: Percutaneous release of trigger finger is effective, convenient, cost effective day care surgery without any significant complications in skilled hands.

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Complications of Open Trigger Finger Release

Cited by 97 publications

References 6 publications

Risk Factors for Complications of Open Trigger Finger Release

Risk Factors for Complications of Open Trigger Finger Release

Follow-up investigation of open trigger digit release

Percutaneous release of trigger finger: An easy and safe procedure

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