Percutaneous trigger finger release

Pandey, BK; Sharma, Sunil Kumar; Manandhar, Rajeev Raj; Pradhan, Rabindra Lal; Lakhey, S; Rijal, K P

doi:10.3126/noaj.v1i1.8126

Cited by 4 publications

(7 citation statements)

References 29 publications

(66 reference statements)

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“…Our series has no persistence of triggering. Patients satisfaction in both the series (Pandey BK et al 2 and HA CW et al 3 ) were 93% and 97% respectively. Our series at the end of one year had a mean VAS score of 0.44, and 95.0% had Quinells grade 0, while preoperatively the mean VAS score was 8.16 and (Chart 1) 60% had Quinells grade 3 and 30% had grade 4 (Chart 2).…”

Section: Discussionmentioning

confidence: 84%

“…Ha CW et al 3 had 185 percutaneous trigger fingers release using specially designed HAKI knife and had 12 (6.48%) digits with persistent triggering. Pandey BK et al 2 had done percutaneous release of 58 fingers with 18 G needle and had 2 digits with persistence of triggering. Our series has no persistence of triggering.…”

Section: Discussionmentioning

confidence: 99%

“…It is more common among females. 2,3 The basic pathogenesis of trigger finger is the incompatibility between the tendon and its sheath that interferes with the normal gliding of tendon within its sheath. Normal gliding motion of a flexor tendon is dependent on a "critical tendon sheath calibre tolerance," which allows the passage of the flexor tendons through the annular pulleys.…”

Section: Introductionmentioning

confidence: 99%

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Outcome of percutaneous trigger finger release technique using a 20-gauge hypodermic needle

Panghate

Panchal

Prabhakar

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: Trigger finger or stenosing tenosynovitis is a disproportion between the volume of the tendon sheath and its contents. This disproportion prevents gliding of the tendon as it moves freely through the annular pulley. The technique of percutaneous release of the annular pulley for trigger finger has been described well in the literature, which has undergone several modifications, like use of hypodermic needle, tenotome or specially designed knives. Method: We performed percutaneous trigger finger release using a 20-gauge hypodermic needle to know the outcome and efficacy of the technique post release. A Prospective cohort study was conducted in 80 consecutive trigger fingers of 67 patients who were treated by percutaneous release using 20-gauge hypodermic needle. Quinell's grading system was used to quantify severity of triggering and pain was assessed using visual analogue scale (VAS) before and after the procedure. Patients were evaluated based on these two parameters at timely interval and final outcome was assessed at the end of one year. Results: Out of 80 digits treated, most of the subjects were in the age group 40e50 years (39.07%). Most common grade of trigger finger observed was Grade 3 (60%) followed by Grade 4 (30%) with VAS score of 8 (46%) followed by VAS score of 7 (24%) before release. At a year follow-up 95% of patients improved to grade 0 and mean VAS score was 0.44. Three patients developed scar tenderness, which gradually subsided by analgesics and physiotherapy with no other major complications. Conclusion: Our technique of percutaneous release of trigger digit with 20 G needle is effective and can be performed safely with ease. It is cost efficient and has a short learning curve with great acceptance being an outpatient procedure.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome of percutaneous trigger finger release technique using a 20-gauge hypodermic needle

Panghate

Panchal

Prabhakar

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…13 Study reports percutaneous release had overall success of 51/58 (97%) with no clinical evidence of digital nerve injury or tendon bowstringing after release with 18G needle. 15 Similarly, 97% excellent and good results is reported using 18G needle. 16 We had no complications of nerve, vascular or tendon injuries, or tendon bowstringing.…”

Section: Discussionmentioning

confidence: 93%

“…11,20,21 Nevertheless other authors reported excellent and good results in thumb too. [12][13][14][15][16][17] In order to prevent digital nerve damage, the needle should be held above the tendon in the midline of the thumb and radial approach should be avoided.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous trigger finger release using 18G hypodermic needle

Yadav¹,

Sah²,

Gupta³

2018

J Patan Acad Health Sci

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Introductions: Patients of stenosing tenosynovitis or trigger finger presents with pain, swelling, limitation of finger movement, and triggering. Thickening of the A1 pulley, with resultant entrapment of flexor tendons, is the primary pathology. In failed conservative treatment, surgical release by open or percutaneous technique is used. The aim of this study was to evaluate the results of percutaneous release of trigger fingers using hypodermic 18-gauge needle under local anesthesia. Methods: A cross sectional study of percutaneous release of trigger fingers using hypodermic 18-gauge needle under local anesthesia was performed in outpatient clinic at Janaki Medical College Teaching Hospital, Janakpur, Nepal, from July 2016 to September 2017. Informed consent was obtained. All the patients were followed up on 3rd day, 1st week and one month in outpatient department, and further telephone follow up at three and six months after surgery. Results: There were 38 patients, female 25 and male 13, age 24 to 67 years. Successful release was achieved in 36/38 (95%) with normal activities within 48 hours. None had complications like digital neurovascular injury or tendon bowstringing. One patient had superficial skin infection and was treated successfully with oral antibiotics. Two (5.2%) had pain and recurrent triggering requiring open release in the first week. At one, three and six months follow up patients reported no triggering of released fingers. Conclusions: Percutaneous release with hypodermic 18-gauge needle under local anesthesia in the treatment of trigger finger was an effective and convenient method with a low complication rate.

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Percutaneous release of trigger finger and its functional outcome

Maheshwari,

Mishra,

Saxena

et al. 2024

Int J Res Orthop

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Background: An overview of percutaneous release for trigger finger and its functional outcomes. Methods: The present prospective controlled analytical study was conducted after taking approval from center human ethical committee. A written and informed consent was obtained. There were 50 patients who reported to outpatient department (OPD) with symptoms suggestive of trigger thumb/ finger, were subjected to the study. Results: Most of the patients belonged to the age group of 41-50 years. Majority of patients were females (56%) and males were (44%). Most of the patients had the right 1st digit involved (32%), followed by left 1st and right 3rd digit (18% each). Before the release of affected digit, 56% were grade 3, 26% were grade 4 and only 18% were grade 1. Complete resolution immediately after the procedure was seen in 82% cases. Pre procedure, mean VAS of 8.4 reduced to mean VAS of 6.2 immediate post procedure. At 48 hours post procedure, mean VAS of 3.06 and mean VAS of 1.12 was seen at 1-month post procedure period. At 3 months post procedure, mean VAS of 0.42. 94% cases had no complications. Conclusions: Percutaneous release of trigger finger is a safe and effective procedure associated with favorable functional outcomes. It provides an alternative treatment option for patients who have failed conservative management or prefer a minimally invasive approach.

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Percutaneous trigger finger release

Cited by 4 publications

References 29 publications

Outcome of percutaneous trigger finger release technique using a 20-gauge hypodermic needle

Outcome of percutaneous trigger finger release technique using a 20-gauge hypodermic needle

Percutaneous trigger finger release using 18G hypodermic needle

Percutaneous release of trigger finger and its functional outcome

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