Prospective randomized trial of open versus percutaneous surgery for trigger digits

Gilberts, E. C. A. M.; Beekman, Werner H.; Stevens, Harry; Wereldsma, J.C.J.

doi:10.1053/jhsu.2001.24967

Cited by 121 publications

(145 citation statements)

References 14 publications

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“…In parallel with our study, in cases operated with percutaneous release procedures, similar tendon injuries have been reported in the literature [24][25][26].…”

Section: Discussionsupporting

confidence: 88%

Percutaneous surgery using Admix NoKorTM Non-Coring 16 G needle in cases with trigger finger

Kurt¹,

Kalender²,

Sevimli³

et al. 2017

Med-Science

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In this study mid-and long-term outcomes of the cases with trigger finger we treated using Admix NoKorTM have been presented. Percutaneous release procedures were applied for 24 fingers of 22 (19 female, 3 male patients; mean age, 57; range, 39-72) patients between May 2009 and May 2011. Preoperatively US was performed so as to confirm the presence of trigger finger. Diameters of the tendons of the affected and intact hands measured using US, were compared so as to be able to demonstrate thickening of the tendon of the trigger finger. The patients were monitored for an average period of 25.2 (range, 14-36) months. During surgery, clinically loss of the catching sensation was observed. In two patients percutaneous trigger finger release failed, so we have to proceed with open surgery. During open surgery, we observed longitudinal wounds on the tendon. One patient developed unilateral radial digital nerve damage. Percutaneous release of the trigger finger using Admix NoKorTM 16-G gauge needle can be preferred in the treatment of trigger finger. Trigger finger of the first digit requires more attentive approach and one should be aware of the complications. If required open surgery can be preferred.

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“…In parallel with our study, in cases operated with percutaneous release procedures, similar tendon injuries have been reported in the literature [24][25][26].…”

Section: Discussionsupporting

confidence: 88%

Percutaneous surgery using Admix NoKorTM Non-Coring 16 G needle in cases with trigger finger

Kurt¹,

Kalender²,

Sevimli³

et al. 2017

Med-Science

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“…Papers have reported up to 100% success rates using this method, with no reported complications. [13][14][15] The third condition under investigation in this paper is the wrist ganglion. Surgical excision has previously been thought of as the gold standard for cure.…”

mentioning

confidence: 99%

Cost Minimisation Using Clinic-Based Treatment for Common Hand Conditions – A Prospective Economic Analysis

Webb

Stothard

2009

annals

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INTRODUCTION The purpose of this study was to compare the cost of treatment of Dupuytren's disease, ganglia and trigger digits in the out-patient department with the operating theatre. PATIENTS AND METHODS All patients seen in a new patient hand clinic with a diagnosis of Dupuytren's disease, trigger digit or ganglion of the wrist or hand requiring treatment were prospectively identified over a 6-month period. The numbers undergoing a procedure in the out-patient clinic or theatre were recorded. Costings of theatre time and out-patient time, as well as national tariff income, were obtained from the hospital management. RESULTS Over the 6-month period, 80, 26, and 52 patients were treated with regard to Dupuytren's disease, ganglia and trigger digits, respectively. Of these, 37, 23, and 44 were treated by an out-patient procedure, and 43, 3 and 8 underwent a formal operation. The total cost of the out-patient procedures was calculated at £1560 over 6 months. To perform these as formal operations would have cost £64,896. The cost savings were, therefore, £63,336, or £126,672 per annum. CONCLUSIONS Out-patient interventions for Dupuytren's disease, ganglia and trigger digits result in significant cost savings over formal surgical treatment.

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“…12 There are studies by Gilberts et al who announce a success rate of 100% with an angiocath needle. 13 Ha and Park used a special blade with a hook to percutaneously release the A1 pulley with a success rate from 91% up to 93%. 9 Also, there are discouraging studies using needles: Dunn and Pess and Smith et al reported comparative studies (needle vs. knife technique) showing the results were significantly better in knife technique (88% up to 98% vs. 32% up to 38%).…”

Section: Discussionmentioning

confidence: 99%

Identification of the location of the A1 pulley combining palpation technique with palm landmarks and percutaneous release of A1 pulley with a 19-gauge needle: A cadaveric study

Grinčuk

Baužys

Porvaneckas

et al. 2017

Journal of Orthopaedic Surgery

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The aims of this study were to identify the location of the A1 pulley combining palpation technique with superficial palm landmarks and to determine the efficacy and safety of A1 pulley percutaneous release with a 19-gauge needle. Fourteen fresh frozen cadaveric specimens were used: 56 fingers and 14 thumbs. The location of the A1 pulley was based on anatomical landmarks and was identified in all digits. Complete release of the A1 pulley occurred in 60 of the 70 digits (85.7%). The length of the A1 pulley in thumbs was 5.7 mm and in other fingers 4.5 mm. There were no signs of neurovascular bundle injuries. The mean distance between needle pathway and neurovascular bundle was 4.3 mm in the thumbs and 6.5 mm in the other fingers. There were no total flexor tendon injuries. The location of the A1 pulley can be predicted with success. Percutaneous release of the A1 pulley with a 19-gauge needle shows acceptable results in both safety and efficacy.

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Prospective randomized trial of open versus percutaneous surgery for trigger digits

Cited by 121 publications

References 14 publications

Percutaneous surgery using Admix NoKorTM Non-Coring 16 G needle in cases with trigger finger

Percutaneous surgery using Admix NoKorTM Non-Coring 16 G needle in cases with trigger finger

Cost Minimisation Using Clinic-Based Treatment for Common Hand Conditions – A Prospective Economic Analysis

Identification of the location of the A1 pulley combining palpation technique with palm landmarks and percutaneous release of A1 pulley with a 19-gauge needle: A cadaveric study

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