Percutaneous trigger finger release

Authors

  • BK Pandey Department of Orthopaedic Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu
  • S Sharma Department of Orthopaedic Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu
  • RR Manandhar Department of Orthopaedic Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu
  • RL Pradhan Department of Orthopaedic Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu
  • S Lakhey Department of Orthopaedic Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu
  • KP Rijal Department of Orthopaedic Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu

Keywords:

trigger finger, open release, percutaneous release

Abstract

BACKGROUND: Trigger finger is caused by formation of nodule or thickening of A1 pulley by its fibrocartilage metaplasia resulting in entrapment of the flexor tendon. Conservative treatment of this condition consists of NSAIDs, splint immobilization and steroid injection into the tendon sheath. Failure of the conservative treatment is the indication of an open release. Percutaneous release of trigger finger is advised by several authors. The purpose of this prospective study is to evaluate the results of percutaneous release of trigger finger with 18 gauge needle.

METHODS: Fifty one patients with 58 trigger digits were treated by percutaneous release using 18 gauge needle under local anaesthesia. Patients were followed up for an average of 12 months.

RESULTS: Overall, 97% achieved an excellent or good result. Two digits experienced recurrent symptoms and required an open release. There was no clinical evidence of digital nerve injury or tendon bowstringing.

CONCLUSIONS: We recommend this technique as a safe and effective outpatient procedure for releasing trigger finger.

DOI: http://dx.doi.org/10.3126/noaj.v1i1.8126

Nepal Orthopaedic Association Journal Vol.1(1) 2010

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Published

2013-05-25

How to Cite

Pandey, B., Sharma, S., Manandhar, R., Pradhan, R., Lakhey, S., & Rijal, K. (2013). Percutaneous trigger finger release. Nepal Orthopaedic Association Journal, 1(1). Retrieved from https://www.nepjol.info/index.php/NOAJ/article/view/8126

Issue

Vol. 1 No. 1 (2010)

Section

Original Articles

License

CC BY-NC-ND This license allows reusers to copy and distribute the material in any medium or format in unadapted form only, for noncommercial purposes only, and only so long as attribution is given to the creator.