Trigger Digits: Principles, Management, and Complications

Ryzewicz, Mark; Wolf, Jennifer Moriatis

doi:10.1016/j.jhsa.2005.10.013

Cited by 339 publications

(320 citation statements)

References 26 publications

(19 reference statements)

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“…Treatment options include NSAIDs, splinting, steroid injection, percutaneous release, and open release. 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].…”

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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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: 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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“…Trigger finger is a relatively common condition encountered by hand surgeons and rheumatologists [2]. It generally causes painful locking of fingers on frequent flexion and extension movements of the fingers [1].…”

Section: Discussionmentioning

confidence: 99%

“…It generally causes painful locking of fingers on frequent flexion and extension movements of the fingers [1]. When there is discrepancy between the volume of tendon sheath and its contents, it leads to narrowing of passage of tendon and resultant restricted movement of the tendon through the tendon sheath or pulley or retinaculum [2]. It is commonly described with flexor tendons.…”

Section: Discussionmentioning

confidence: 99%

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Sonographic findings of extensor digiti minimi triggering caused by thickened extensor retinaculum

2014

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Trigger finger is a common well recognized condition and involves the flexor tendons at the A1 pulley in the palm. Triggering of the extensor tendons is a very rare clinical entity. We report a rare case of extensor triggering of little finger caused by constriction of the extensor digiti minimi by a markedly thickened extensor retinaculum (ER) at the wrist, well delineated dynamically by real-time high-resolution ultrasound. The patient underwent release of thickened ER and was asymptomatic immediately.Keywords Extensor Á Tendon Á Trigger Á Retinaculum Á Ultrasound Sommario Il dito a scatto è una condizione frequente, ben riconosciuta, che coinvolge i tendini flessori a livello della puleggia A1. A livello dei tendini estensori è un'entith clinica molto rara. Riportiamo un raro caso di dito a scatto dell'estensore del mignolo causato da un marcato ispessimento del retinacolo degli estensori (ER) a livello del polso, ben evidenziato con ecografia dinamicamente ad alta risoluzione. Il paziente è stato sottoposto a intervento con resezione dell'ER ispessito con conseguente, completa, risoluzione della patologia.

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“…Various methods using several instruments were reported afterwards. 3,[6][7][8][9][10] We used a knife designed for ophthalmologic surgery for the percutaneous release of trigger finger. We released 50 trigger fingers percutaneously with this blade.…”

Section: Introductionmentioning

confidence: 99%

Liberação percutânea do dedo em gatilho com micro bisturi oftalmológico vitreorretiniano de lâmina 19

Uruç¹,

Cingü²,

Sayıt

et al. 2011

Acta ortop. bras.

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OBJETIVO: Desenvolver uma nova técnica de liberação percutânea do dedo em gatilho, usando microbisturi oftalmológico vitreorretiniano (MVR) de lâmina 19. MÉTODO: O tratamento conservador do dedo em gatilho inclui, com frequência, injeção local de esteroide. Esse método apresenta alta taxa de falha, sendo necessárias injeções repetitivas. Quando o tratamento conservador falha, recomenda-se a liberação a céu aberto da polia A1. Foram relatados vários métodos que empregam diversos instrumentos. Usamos um microbisturi oftalmológico vitreorretiniano (MVR, de microvitreoretinal blade) de lâmina 19 na liberação percutânea do dedo em gatilho. RESULTADOS: Liberamos 50 dedos em gatilho por via percutânea com essa lâmina. CONCLUSÃO: Foram obtidos resultados satisfatórios em 45 deles (90%). Nivel de Evidência VI, série de casos.

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Trigger Digits: Principles, Management, and Complications

Cited by 339 publications

References 26 publications

Risk Factors for Complications of Open Trigger Finger Release

Risk Factors for Complications of Open Trigger Finger Release

Sonographic findings of extensor digiti minimi triggering caused by thickened extensor retinaculum

Liberação percutânea do dedo em gatilho com micro bisturi oftalmológico vitreorretiniano de lâmina 19

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