The Fate of Injected Trigger Fingers

Kamhin, M.; Engel, J.; Heim, M

doi:10.1016/s0072-968x(83)80018-7

Cited by 32 publications

(12 citation statements)

References 2 publications

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“…w9 Injecting into the flexor sheath can prove difficult, as shown by Kamhin et al, who injected trigger fingers with dye and then went on to do an open A1 pulley release. They noted that only half of the injected fingers had dye within the sheath and that failure to introduce dye into the flexor sheath was higher in those patients with a longer duration of symptoms 19. Complications include dermal or subcutaneous atrophy, skin hypopigmentation, infection, and in one rare case tendon rupture.…”

Section: Treatmentmentioning

confidence: 99%

Management and referral for trigger finger/thumb

Akhtar¹,

Bradley

Quinton

et al. 2005

BMJ

156

123

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Section: Treatmentmentioning

confidence: 99%

Management and referral for trigger finger/thumb

Akhtar¹,

Bradley

Quinton

et al. 2005

BMJ

156

123

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“…description of the location of injected material, Kamhin et al 11 reported that 49% of material ended up inside the tendon sheath, and the remaining 51% was located in the surrounding soft tissue. Because this previous work was a clinical study, it did not determine whether any material ended up inside the tendon, an outcome that would likely lead to severe complications.…”

mentioning

confidence: 99%

Sonographically Guided Tendon Sheath Injections Are More Accurate Than Blind Injections

Lee

Han

Park

et al. 2011

Journal of Ultrasound in Medicine

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“…[1][2][3][4][5][6][7][8][9][10][11] However, overall results with nonoperative management have been variable and disappointing. [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.…”

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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The Fate of Injected Trigger Fingers

Cited by 32 publications

References 2 publications

Management and referral for trigger finger/thumb

Management and referral for trigger finger/thumb

Sonographically Guided Tendon Sheath Injections Are More Accurate Than Blind Injections

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

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