Abstract
Objective: In this study, we aimed to evaluate the results of percutaneous release of Trigger Finger using 18G needle in 30 patients.
Methods: From November 2017 to November 2018, 30 patients with Trigger Finger were treated with percutaneous A1 pulley release using 18G needle at Govt Medical College, Trichur. Surgeons included Final Year Post Graduates Students to Professor/Unit Chiefs. Mean follow up period was 15 weeks. Results were classified as satisfactory when there was complete relief from complaints and unsatisfactory when there was persistence of complaint or if open surgery were required.
Results: 25(83.3%) patients had complete relief from triggering and there complaints.3(10%) patients had to undergo open release after repeated attempt of needling. 2 (6.7%)patients who complained of persistent pain at the needling site, despite relief of the triggering were relieved of pain after single shots of local steroid injection.
Conclusion: Needle release of trigger finger is effective, safe and well tolerated by patients. It should be done by senior Orthopedic or Hand Surgeon to avoid any complication.
References
- Mark Ryzewicz, MD, Jennifer Moriatis Wolf, MD Trigger Digits: Principles, Management, and Complications From the Department of Orthopaedics, University of Colorado Health Sciences Center, Denver, CO.
- Fleisch SB, Spindler KP, Lee DH. Corticosteroid injections in the treatment of trigger finger: a level I and II systematic review. J Am Acad Orthop Surg 2007;15:166-71.
- Percutaneous release of trigger digits ,a technique and results using a specially designed knife K. I. Ha, M. J. Park, C. W. Ha From Sungkyunkwan University School of Medicine, Seoul, Korea
- Kolind-Sorensen V. Treatment of trigger fingers. Acta Orthop Scand1970;41:428-32.
- Clark DD, Ricker JH, MacCollum MS. The efficacy of local steroid injection in the treatment of stenosing tenovaginitis. Plast Reconstr Surg 1973;51:179-80. Rhoades CE, Gelberman RH, Manjarris JF.
- Stenosing tenosynovitis of the fingers and thumb: results of a prospective trial of steroid injection and splinting. Clin Orthop 1984;190:236-8. Marks MR, Gunther SF.
- Efficacy of cortisone injection in treatment of trigger fingers and thumbs. J Hand Surg [Am] 1989;14:722-7. Murphy D, Failla JM, Koniuch MP.
- Steroid versus placebo injection for trigger finger. J Hand Surg [Am] 1995;20:628-31.Quinnell RC.
- Conservative management of trigger finger. Practitioner 1980;224:187-90. Newport ML, Lane LB, Stuchin SA.
- Treatment of trigger finger bysteroid injection. J Hand Surg [Am] 1990;15:748-50.8. Benson LS, Ptaszek AJ.
- Injection versus surgery in the treatment of trigger finger. J Hand Surg [Am] 1997;22-A:138-44.Turowski GA, Zdankiewicz PD, Thomson JG.
- The results of surgical treatment of trigger finger. J Hand Surg [Am] 1997;22:145-9. Lorthioir J.
- Surgical treatment of trigger finger by a subcutaneous method. J Bone Joint Surg [Am] 1959;40-A:793-5.11. Tanaka J, Muraji M, Negoro H, et al.
- Subcutaneous release of trigger thumb and fingers in 210 fingers. J Hand Surg [Br] 1990;15:463-5. Eastwood DM, Gupta KJ, Johnson DP.
- Percutaneous release of the trigger finger: an office procedure. J Hand Surg [Am]1992;17:114-7.13. Lyu S-R.
- Closed division of the flexor tendon sheath for trigger finger.J Bone Joint Surg [Br] 1992;74-B:418-20.14. Patel MR, Moradia VJ.
- Percutaneous release of trigger digit with and without cortisone injection. J Hand Surg [Am] 1997;22:150-5 Cihantimur B, Akin S, Ozcan M.
- Percutaneous treatment of trigger finger: 34 fingers followed 0.5-2 years. Acta Orthop Scand 1998;69:167-8.Bain GI, Turnbull J, Charles MN, Roth JH, Richards RS.
- Percutaneous A1 pulley release: a cadaveric study. J Hand Surg [Am]1995;20:781-4. Pope DF, Wolfe SW.
- Safety and efficacy of percutaneous trigger finger release. J Hand Surg [Am] 1995;20:280-3
- Complications of Percutaneous Release of the Trigger Finger Alper Aksoy, Emin Sir
- Percutaneous Release of trigger Finger RamiAhmed Diab Journal of Orthopaedic Surgery 2015;23(2):241-2
- Percutaneous Surgery: A Safe Procedure for Trigger Finger? Bekir Yavuz Uçar North American Journal of Medical Sciences Sep 2012.
- Percutaneous trigger finger release with 18G needle Saudi Medical j 2007Issam Dahabra.
Corresponding Author
Dr Manoj.M.K
Associate Professor, Department of Orthopedics, Government Medical College Trichur
DOI: https://dx.doi.org/10.18535/jmscr/v8i1.87
