Blog Elements – Page 48 – Trauma International

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 25-27 | Vinod Nair, Amit Chaudhary, Clevio Desouza, Harshal Hurkat, Shiju George Author: Vinod Nair [1], Amit Chaudhary [1], Clevio Desouza [1], Harshal Hurkat [1], Shiju George [1]. [1]Department Of Orthopaedics, Dr D.Y.Patil Hospital, Pune, Maharashtra, India. Address of Correspondence Dr. Clevio Desouza D. […]

Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep -Dec 2017 | page: 28-30 | Atul A Kharat, Sandeep R Biraris, Pramod P Chikhalikar, Sheran Ali, G Krishna Naresh Goud Author: Atul A Kharat [1], Sandeep R Biraris [2], Pramod P Chikhalikar [3], Sheran Ali [1], G Krishna Naresh Goud [2]. [1]Department of Orthopaedics, Pad. Dr D […]

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Full Sized Blog Element (Big Preview Pic)

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 25-27 | Vinod Nair, Amit Chaudhary, Clevio Desouza, Harshal Hurkat, Shiju George

Author: Vinod Nair [1], Amit Chaudhary [1], Clevio Desouza [1], Harshal Hurkat [1], Shiju George [1].

[1]Department Of Orthopaedics, Dr D.Y.Patil Hospital, Pune, Maharashtra, India.

Address of Correspondence
Dr. Clevio Desouza
D. Y. Patil Medical College, Pimpri, Pune ,Maharashtra

Email: cleviod@yahoo.com

Learning Points for this Article: This articles shows us that although in its initial stages percutaneous release of trigger finger is a safe and cost effective procedure.

Abstract

Introduction: Trigger finger is a common cause of pain and disability of the hand. Trigger finger (or thumb) arises either from thickening of the flexor tendon sheath (which occurs following tenosynovitis of infective, traumatic or rheumatolgical origin) or from nodular thickening of the flexor tendon itself which may be congenital. Percutaneous release results in earlier functional recovery and patient satisfaction. This is a cost-effective and rapid method which saves a surgical procedure and results in a better functional outcome.
KeyWords: Trigger finger, percutaneous release, outpatient treatment, cost-benefit analysis.

References

1. Makkouk AH, OetgenME, Swigart CR, Dodds SD. Trigger finger: Etiology, evaluation, and treatment. Curr Rev Musculoskelet Med 2008;1(2):92-96.
2. Sato ES, Gomes Dos Santos JB, Belloti JC, Albertoni WM, Faloppa F. Treatment of trigger finger: Randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery. Rheumatology (Oxford)2012;51:93-99.
3. Drossos K, Remmelink M, Nagy N, de Maertelaer V, Pasteels JL, Schuind F. Correlations between clinical presentations of adult trigger digits and histologic aspects of the A1 pulley. J Hand Surg Am 2009;34(8):1429-1435.
4. Findings P. Trigger Finger. Lippincott’s Primary Care Orthopaedics. Philadelphia: Lippincott Williams & Wilkins; 2008: 273.
5. Cederlund RI, Thomsen N, Thrainsdottir S, Eriksson KF, Sundkvist G, Dahlin LB. Hand disorders, hand function, and activities of daily living in elderly men with Type 2 diabetes. J Diabetes Complications 2009;23(1):32-39.
6. Allan CH. Flexor tendons: Anatomy and surgical approaches. Hand Clin 2005;21(2):151-157.
7 Saldana MJ. Trigger digits: Diagnosis and treatment. J Am AcadOrthopSurg 2001;9(4):246-252.
8. Marcus AM, Culver JE Jr, Hunt TR 3rd. Treating trigger finger in diabetics using excision of the ulnar slip of the flexor digitorumsuperficialis with or without A1 pulley release. Hand (N Y)2007;2(4):227-231.
9. Ballantyne J, Hooper G. The hand and diabetes. Curr Orthop. 2004; 18(2): 118-25.
10. Fitzgerald B, Setty A, Mudgal C. Gout Affecting the Hand and Wrist. J Am Acad Orthop Surg. 2007; 15(10): 625.
11. Goldfarb C. Green’s Operative Hand Surgery. J Bone Joint Surg Am. 2005; 87(12): 2842.
12. Cebesoy O, Kose KC, Baltaci ET, Isik M. Percutaneous release of the trigger thumb: Is it safe, cheap and effective? IntOrthop 2007;31(3):345-349.
13. Fleisch SB, Spindler KP, Lee DH. Corticosteroid injections in the treatment of trigger finger: A level I and II systematic review. J Am AcadOrthopSurg 2007;15(3):166-171.
14. Colbourn J, Heath N, Manary S, Pacifico D. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther 2008;21:336-343.
15. Slesarenko YA, Mallo G, Hurst LC, Sampson SP, Serra-Hsu F. Percutaneous release of A1 pulley. Tech Hand Up ExtremSurg 2006;10(1):54-56.
16. Kerrigan CL, Stanwix MG. Using evidence to minimize the cost of trigger finger care. J Hand Surg Am 2009;34(6):997-1005.
17. Webb JA, Stothard J. Cost minimisation using clinic-based treatment for common hand conditions-a prospective economic analysis. Ann R CollSurgEngl 2009;91(2):135-139.
18. Sahu R, Gupta P. Experience of percutaneous trigger finger release under local anesthesia in the medical college of Mullana, Ambala, Haryana. Ann Med Health Sci Res 2014;4(5):806-809.
19 Lalonde D, Martin A. Epinephrine in local anesthesia in finger and hand surgery: The case for wide-awake anesthesia. J Am AcadOrthopSurg 2013;21:443-447.
20. Eastwood DM, Gupta KJ, Johnson DP. Percutaneous release of the trigger finger: An office procedure. J Hand Surg Am 1992;17(1):114-117.
21. Elsayed MM. Percutaneous release of trigger finger. Egypt Orthop J. 2013; 48(3): 277.
22. Diab RA. Percutaneous release of trigger finger. J Orthop Surg (Hong Kong). 2015; 23(2): 241-242.
23. Pope DF, Wolfe SW. Safety and efficacy of percutaneous trigger finger release. J Hand Surg Am 1995;20(2):280-283.
24. Guler F, Kose O, Ercan EC, Turan A, Canbora K. Open versus percutaneous release for the treatment of trigger thumb. Orthopedics 2013;36(10):e1290-e1294.

How to Cite this article: Nair V, Chaudhary A , Desouz C, Hurkat H, George S. Percutaneous Release of Trigger Finger: A Safe and Cost effective Procedure. Trauma International Sep-Dec 2017;3(2):25-27.

(Abstract) (Full Text HTML) (Download PDF)

Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep -Dec 2017 | page: 28-30 | Atul A Kharat, Sandeep R Biraris, Pramod P Chikhalikar, Sheran Ali, G Krishna Naresh Goud

Author: Atul A Kharat [1], Sandeep R Biraris [2], Pramod P Chikhalikar [3], Sheran Ali [1], G Krishna Naresh Goud [2].

[1]Department of Orthopaedics, Pad. Dr D Y Patil Medical College & Hospital, Nerul, Navi Mumbai.
[2]Department of Orthopaedics, Mumbai Port Trust Hospital, Wadala (E), Mumbai.
[3]Department of Orthopaedics, Pad. Dr D Y Patil Medical College, Pune.

Address of Correspondence
Dr. Sandeep R Biraris,
Department of Orthopaedics, Mumbai Port Trust Hospital, Wadala (E), Mumbai, Maharashtra-400037.
Email: drsandeeprb@gmail.com

Learning Points for this Article: This articles states about various treatment modalities about management of the calcaneum fractures, it shows that non-displaced fractures can be treated conservatively and also Bohler’s and Gissane’s angles should be maintained post-operatively to have a good functional outcome.

Abstract

Background: Calcaneum fractures account for approximately 2% of all fractures, with displaced intra-articular fractures comprising 60-75% of these injuries of which 10% have associated spine fractures and 26% are associated with other extremity injuries. Several authors have reported that patients may be totally incapacitated for up to 3 years and partially impaired for up to 5 years post injury, Although modern surgical techniques have improved the outcome, controversy still exists regarding classification, treatment, operative technique, and post-operative management.
Materials and Methods: 28 out of 31 cases were analyzed prospectively and retrospectively from July 2011 to August 2013 after local ethical and scientific clearance. Three patients had lost to follow-up. All patients with calcaneum fractures above age of 18 with either simple or open injuries were included in the study, excluding pediatric and complex injuries. All patients were clinically evaluated and Bohler’s, Gissane’s angles were calculated preoperatively. All patients were treated with one of the modalities, which include conservative, Steinmann pinning, and Calcaneum plate fixation. All patients were followed up in outpatient basis fortnightly for 3 months and on 6th month and 1 year respectively, to check signs of union of fracture, subtalar movements, and complications if any. After radiological evaluation, functional outcome assessment was done using American Orthopaedic Foot and Ankle Society
Results: Mean age was 35.1 with range 20-52 years, male to female ratio of 9:1. 85% were due to high-velocity trauma. The most common type of injury was tongue type. Preoperative mean Bohler’s and Gissane’s angles which were about 14.87 and 121.5 degrees respectively, the improved angles postoperatively were 25.68 and 104.37 degrees. One patient had heel pain, one patient had residual edema, one patient developed subtalar and ankle stiffness, there was one case of tendocalcaneus weakness, one with broadening of heel, and one case of wound infection.
Conclusion: Undisplaced or minimally displaced calcaneum fractures are best-treated conservatively with cast immobilization for 6 weeks. Essex-Lopresti technique of reduction was superior technique for displaced fractures and achievement of Bohler’s and Gissane’s angle to the after reduction was judgemental for optimal functional outcome.
Keywords: Calcaneum, Essex-Lopresti, functional outcome.

References

1. Bucholz RW, Beaty JH, Rockwood CA, Green DP. Rockwood and Greens Fractures in Adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott, Williams & Wilkins; 2010. p. 2133.
2. Egol KA, Koval KJ, Zuckerman JD. Handbook of Fracture’s. 41th ed. Philadelphia, PA: Lippicot Williams and Wilkins; 2010. p. 507-519.
3. Tomesen T, Biert J, Frölke JP. Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation. J Bone Joint Surg Am 2011;93(10):920-928.
4. Canale ST, Beaty JH. Campbell’s Operative Orthopedics. Philadelphia, PA: Mosby/Elsevier; 2008. p. 4833-4850.
5. Pillai A, Basappa P, Ehrendorfer S. Modified Essex-Lopresti/Westheus reduction for displaced intra-articular fractures of the calcaneus. Description of surgical technique and early outcomes. Acta Orthop Belg 2007;73(1):83-87.
6. Silva PS, Simões B, Pessole ML, Richard L. Evolution of intra-articular fractures deviated from the calcaneus with surgical treatment. Acta Ortop Bras 2006;14(1):35-39.
7. Meraj A, Zahid M, Ahmad S. Management of intraarticular calcaneal fractures by minimally invasive sinus tarsi approach-early results. Malays Orthop J 2012;6(1):13-17.
8. Yip-Kan Y, Yuen-Fong H. Percutaneous fixation of displaced calcaneal fracture. J Orthop Trauma Rehabil 2011; 15(1):5-9.
9. Stulik J, Stehlik J, Rysavy M, Wozniak A. Minimally-invasive treatment of intra-articular fractures of the Calcaneum. J Bone Joint Surg Br 2006;88(12):1634-1641.
10. El-Khalifa T, El-Bagali M, Yousif W, Hashem F. Limited open reduction and percutaneous T screw fixation of displaced intra-articular fracture of calcaneus: Review of 48 fractures. Bahrain Med Bull 2011; 33(2):97-102.

How to Cite this article: Kharat AA, Biraris SR, Chikhalikar PP, Ali S, Goud GKN. Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction. Trauma International Sep-Dec 2017;3(2):28-30.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

Full Sized Blog Element (Big Preview Pic)

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

Author: Vinod Nair [1], Amit Chaudhary [1], Clevio Desouza [1], Harshal Hurkat [1], Shiju George [1].

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

Author: Atul A Kharat [1], Sandeep R Biraris [2], Pramod P Chikhalikar [3], Sheran Ali [1], G Krishna Naresh Goud [2].

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

Contact

Important Links

LICENSE