Safety and efficacy of percutaneous trigger finger release

Pope, David G.; Wolfe, Scott W.

doi:10.1016/s0363-5023(05)80026-7

Cited by 135 publications

(165 citation statements)

References 13 publications

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“…Cadaveric study by Pope and Wolfe 16 suggests that radial digital nerve was as close as within 2-3mm of needle site in percutaneous release in 3 of 5 thumb and 5 of 5 index fingers. Digital nerve injury has been reported in some studies.…”

Section: Discussionmentioning

confidence: 98%

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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Section: Discussionmentioning

confidence: 98%

Percutaneous release of trigger finger: An easy and safe procedure

2020

IJOS

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“…Particularly in pediatric cases, the close proximity of these structures and their surface course, increases the risk. In a study by Pope and Wolfe (1995) it was reported that percutaneous loosening was possible without cutting in the distal 10-15% part of the pulley. Cebesoy et al, (2007) reported that after starting with the percutaneous method, after four weeks an open approach was applied to 4 of 25 fingers due to failure.…”

Section: Discussionmentioning

confidence: 99%

An evaluation of pediatric cases with trigger finger

Çıraklı¹,

Pişkin²,

Erdoğan³

et al. 2013

jecm

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“…However, clinicians may not describe this phenomenon quantitatively, so the literature generally presents the effectiveness of intervention using simple and convenient physical examinations, as well as patients' self-reported satisfaction questionnaires. 1,6,[7][8][9][10][11][12][13][14] Kinematics investigations may provide a new approach for quantifying the inappropriate movements of the trigger digit. For example, clinical experience is usually based on a four-or five-grade taxonomy.…”

Section: Discussionmentioning

confidence: 99%

“…In prior studies, researchers usually used simple physical examinations, such as clinical observations of range of motion (ROM) or movement abnormality and pain rating and selfreported satisfaction questionnaires to evaluate conditions before and after treatment. 1,[6][7][8][9][10][11][12][13][14] With these methods, clinicians can easily and conveniently assess treatment outcomes; however, little research has focused on objectively assessing the efficacy of surgical release based on quantifiable measures. To describe hand movements thoroughly, uses of three-dimensional and dynamic goniometric measures to represent thumb and finger ROM based on computer-aided motion analysis techniques were recently reported.…”

mentioning

confidence: 99%

Kinematical and functional improvements of trigger digits after sonographically assisted percutaneous release of the A1 pulley

Kuo

Tung

et al. 2008

Journal Orthopaedic Research

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We present evidence of kinematic and functional improvements of the trigger digit after sonographically assisted percutaneous release using quantitative motion analyses and functional assessments, respectively. Twenty-two patients with idiopathic trigger digits, who received the surgery, were recruited. A motion tracking system was used to measure the assigned kinematics parameters at the presurgical visit and at 1, 4, and 12 weeks after surgery. The hand strength and functional outcome were also obtained using dynamometer and selfreport questionnaire assessments. The hand strength, maximal workspace, and joint range of motion of the involved digit were significantly smaller than that of the intact finger on the contralateral hand before surgery. The triggering phenomenon of the involved digit was significantly higher than that of the corresponding finger in the intact hand using a subscribed angular acceleration factor. The repeated measures showed that the workspace, joint range of motion, hand strength, and triggering effect of the involved hand significantly improved in follow-up examinations after the surgical intervention. Painful movement or insufficient tendon excursion of the trigger digit can cause loss of movement and strength, thus interfering with functional performance. After the disappearance of the pain and triggering by sonographically assisted percutaneous release, improvements in kinematics and function were objectively quantified in this study. Keywords: trigger digits; kinematics; sonographically assisted percutaneous release; motion analysis A change in anatomical structure can alter movement into improper or malaligned patterns. The trigger digit is a common example that symptomatically shows a catching or snapping phenomenon owing to a mismatched anatomical relationship between the flexor tendon and A1 pulley.1-5 The severity of the disease is usually graded based on the levels of these triggering effects and the location of tenderness. In prior studies, researchers usually used simple physical examinations, such as clinical observations of range of motion (ROM) or movement abnormality and pain rating and selfreported satisfaction questionnaires to evaluate conditions before and after treatment.1,6-14 With these methods, clinicians can easily and conveniently assess treatment outcomes; however, little research has focused on objectively assessing the efficacy of surgical release based on quantifiable measures. To describe hand movements thoroughly, uses of three-dimensional and dynamic goniometric measures to represent thumb and finger ROM based on computer-aided motion analysis techniques were recently reported.15-18 These methods provide objective spatial and temporal assessment rather than the static indication using conventional goniometric measurements. To date, however, limited reports exist on the objective description of the trigger digit movement.Recent years have seen increased research into percutaneous release methods for treating triggering problems of digits. A son...

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Safety and efficacy of percutaneous trigger finger release

Cited by 135 publications

References 13 publications

Percutaneous release of trigger finger: An easy and safe procedure

Percutaneous release of trigger finger: An easy and safe procedure

An evaluation of pediatric cases with trigger finger

Kinematical and functional improvements of trigger digits after sonographically assisted percutaneous release of the A1 pulley

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