The results of surgical treatment of trigger finger

Turowski, G; Zdankiewicz, Peter D.; Thomson, James G.

doi:10.1016/s0363-5023(05)80195-9

Cited by 162 publications

(127 citation statements)

References 25 publications

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“…Maximillian C. Soong declares that he has no conflict of interest. [9] 1997 59 6 (10) 1 (1.7) Revision release (1) Vaes [10] 1998 55 10 (18) 0 (0) Finsen [3] 2003 84 16 (19) 2 (2.4) Revision release (1), tenolysis (1) Lim [5] 2007 483 7 (1) 0 (0) Lange-Reiss [4] 2009 305 9 (3) 0 (0) Will [11] 2010 78 24 (31) 2 (2.6) Fistula excision (1) Cakmak [2] 2012 101 6 (6) 3 (3.0) Revision release (1), I&D (2) Bruijnzeel [1] 2012 1598 84 (5) Statement of Human and Animal Rights Approval was obtained from the institutional review board regarding procedures to ensure protection of human rights and informed consent.…”

Section: Discussionmentioning

confidence: 99%

“…Open release is generally considered a simple low-risk procedure, although may result in complications such as persistence, recurrence, prolonged pain, infection, stiffness, flexion contracture, bowstringing, and digital nerve injury [7]. Incidence of such complications varies widely from 1 to 43 % [1][2][3][4][5][8][9][10][11]. Most studies involve small numbers, which limit the ability to generalize findings and to identify risk factors.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Complications of Open Trigger Finger Release

Everding

Bishop

Belyea

et al. 2014

Hand (New York, N,Y.)

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Background Open trigger finger release is generally considered a simple low-risk procedure. Reported complication rates vary widely from 1 to 43 %, mostly based on small studies. Our goal was to determine the incidence of complications in a large consecutive series, while also identifying potential risk factors. Methods All open trigger finger releases performed from 2006 to 2009 by four fellowship-trained hand surgeons at a single institution were retrospectively reviewed. There were 795 digits released in 543 patients. Complications were defined as signs or symptoms requiring further treatment and/or considered unresolved by 1 month postoperatively. Complications requiring operative intervention were regarded as major. Multivariable analysis was performed to determine possible risk factors for complications. Results There were 95 documented complications among 795 digits (12 %). The most common complications involved persistent pain, stiffness, or swelling, persistent or recurrent triggering, or superficial infection. Most were treated nonoperatively with observation, therapy, steroid injection, or oral antibiotics. There were 19 reoperations (2.4 %), mostly including revision release, tenosynovectomy, and irrigation and debridement. Male gender, sedation, and general anesthesia were independently associated with complications, while age, diabetes, hypothyroidism, recent injection, and concurrent procedures were not associated.Conclusions Open trigger finger release is generally a lowrisk procedure, although there is potential for complications, some requiring reoperation. Male gender, sedation, and general anesthesia may be associated with greater risk. Surgeons should be careful to thoroughly discuss the risk of both major and minor complications when counseling patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Complications of Open Trigger Finger Release

Everding

Bishop

Belyea

et al. 2014

Hand (New York, N,Y.)

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“…Similar results were reported in previous studies using clinical observations or telephone interviews. 7,9,11,13,[28][29][30] Subsequently, each joint's ROM showed improvement. Although most studies reported that the majority of trigger digit patients had regained full or normal ROM after treatment, 1,7,9,11,13,[28][29][30][31][32] the recovery rate of the workspace and joint ROM in this study was 87-92% of the performances of the intact hand 12 weeks postoperatively.…”

Section: Discussionmentioning

confidence: 94%

“…7,9,11,13,[28][29][30] Subsequently, each joint's ROM showed improvement. Although most studies reported that the majority of trigger digit patients had regained full or normal ROM after treatment, 1,7,9,11,13,[28][29][30][31][32] the recovery rate of the workspace and joint ROM in this study was 87-92% of the performances of the intact hand 12 weeks postoperatively. This might be because ROM evaluations in previous studies were based on direct observations or the clients' self-reported outcomes, 1,7,11,13,[28][29][30][31][32] so the 10% difference in full or normal ROM might not have been detected visually.…”

Section: Discussionmentioning

confidence: 94%

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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“…In the literature, higher risk of digital nerve damage has been reported especially for the repair of the 1. and 2. trigger fingers, respectively [18,19]. In a study performed by Carrozzella et al the authors reported digital nerve damage in 4 patients.…”

Section: Discussionmentioning

confidence: 96%

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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The results of surgical treatment of trigger finger

Cited by 162 publications

References 25 publications

Risk Factors for Complications of Open Trigger Finger Release

Risk Factors for Complications of Open Trigger Finger Release

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

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

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