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