Longitudinal incision for trigger finger release

Stefanich, Raymond J.; Peimer, Clayton A.

doi:10.1016/0363-5023(89)90030-0

Cited by 10 publications

(7 citation statements)

References 3 publications

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“…Our study aligns with previous studies, which demonstrate overall excellent outcomes and minimal complications after open treatment for trigger finger (Lim et al, 2007; Stahl et al, 1997; Stefanich and Peimer, 1989). Our observed improvement in the DASH from 29 preoperatively to 4 at 54 weeks postoperatively suggests that trigger release patients experience minimal upper extremity disability following recovery.…”

Section: Discussionsupporting

confidence: 91%

“…Trigger finger release has exhibited high success rates ranging from 94–100% (Lim et al., 2007; Stahl et al., 1997; Stefanich and Peimer, 1989). Multiple types of skin incision have been described for trigger finger release, including transverse, longitudinal, oblique, and a checkmark pattern (Bell, 2009; Bonnici and Spencer, 1988; Ryzewicz and Wolf, 2006; Turowski et al., 1997).…”

Section: Introductionmentioning

confidence: 99%

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A prospective, randomized clinical trial of transverse versus longitudinal incisions for trigger finger release

Kazmers

Holt

Tyser

et al. 2019

J Hand Surg Eur Vol

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We investigated whether incision type affects scar quality or outcome following trigger finger release. Our primary and secondary hypotheses were that transverse and longitudinal incision types yield similar scar quality and functional improvement. Digits undergoing trigger finger release at the participating hospitals were randomized to receive transverse or longitudinal incisions. The Patient Scar Assessment Scale, Observer Scar Assessment Scale, and the Disabilities of the Arm, Shoulder and Hand score were collected at 8 and 54 weeks postoperatively. Of 86 randomized patients, 67 patients (71%) had followed-up at 54 weeks postoperatively. We found no significant differences in above three assessments between the incisions at either time-point. Among patients receiving both incision types for multiple simultaneous trigger finger release, there were no significant differences in Patient Scar Assessment Scale or Observer Scar Assessment Scale scores. We found no significant difference in the scar quality and improvement in patient-reported disability with transverse or longitudinal incisions for trigger finger release. Level of evidence: II

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

A prospective, randomized clinical trial of transverse versus longitudinal incisions for trigger finger release

Kazmers

Holt

Tyser

et al. 2019

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…[12][13][14] Operative treatment requires an incisional release of the A1 pulley. [15][16][17][18][19][20][21] Success rates are higher with surgical treatment, but so are complication rates. 15,16 Recently, the percutaneous approach to management of trigger finger has gained popularity.…”

mentioning

confidence: 99%

Safe Treatment of Trigger Finger with Longitudinal and Transverse Landmarks: An Anatomic Study of the Border Fingers for Percutaneous Release

Wilhelmi

Mowlavi

Neumeister

et al. 2003

Plastic and Reconstructive Surgery

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Transverse landmarks have recently been determined to predict the proximal and distal edges of the A1 pulley for trigger finger release. Percutaneous A1 pulley release has been discouraged for the border digits because of the risk of injury to the neurovascular structures of the index and small fingers. The purpose of the study was to identify longitudinal surface landmarks to prevent injury to the neurovascular bundles during percutaneous A1 pulley release of the ulnar and radial border digits. Longitudinal surface landmarks were identified and marked on 29 cadaver hands. Proximal and distal landmarks for the longitudinal vector through which the A1 pulley of the small finger was released include the midline of the proximal digital crease and the scaphoid tubercle. Proximal and distal landmarks for the longitudinal line through which the index finger A1 pulley was released include the midline of proximal digital crease and radial edge of the pisiform. Longitudinal incisions were performed between these landmarks, straight through the skin and deep enough to score the A1 pulley. The distance of the medial edge of the neurovascular structures from the longitudinal incision in the A1 pulley was measured for each small finger and index finger. Using these longitudinal landmarks for the index and small fingers, none of the neurovascular structures was injured while performing these longitudinal incisions through the skin, scoring the A1 pulley. In fact, the average distance for the neurovascular structures from the longitudinal vector of the small finger was 5.4 +/- 1.4 mm radially and 6.7 +/- 1.9 mm ulnarly. The average distance for the neurovascular structures from the longitudinal line of the index finger was 8.5 +/- 1.8 mm radially and 6.2 +/- 1.7 mm ulnarly. Based on the findings of this anatomical study, these longitudinal landmarks can be used to avoid injury to neurovascular structures in the management of trigger finger involving the border digits with steroid-injection, open, or percutaneous A1 pulley release.

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“…La libération de la poulie A1 peut se réaliser soit par incision transversale habituelle soit par incision longitudinale comme l'a rapporté Stefanich [16] en 1989. Quant au traitement percutané décrit initialement par Lorthioir [17] en 1958 et repris par de nombreux auteurs [18,19], son caractère aveugle et le risque d'ouverture incomplète de la poulie A1 ou de lésions sous-jacentes des tendons fléchisseurs, en fait une technique peu répandue.…”

Section: Le Doigt à Ressautunclassified

Pathologie des poulies

D’Agostino¹,

Viet

2012

Revue du Rhumatisme Monographies

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Longitudinal incision for trigger finger release

Cited by 10 publications

References 3 publications

A prospective, randomized clinical trial of transverse versus longitudinal incisions for trigger finger release

A prospective, randomized clinical trial of transverse versus longitudinal incisions for trigger finger release

Safe Treatment of Trigger Finger with Longitudinal and Transverse Landmarks: An Anatomic Study of the Border Fingers for Percutaneous Release

Pathologie des poulies

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