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Revision of incompletely released trigger fingers by percutaneous release: results and complications
- Source :
- The Journal of hand surgery. 31(8)
- Publication Year :
- 2006
-
Abstract
- Purpose Percutaneous trigger digit release has been reported as a safe, effective, and quick procedure, but most surgeons convert to an open method for residual triggering after percutaneous release. This study evaluates the safety and efficacy of repeated percutaneous release for patients who had residual triggering after the initial percutaneous release. Methods Between January 2000 and December 2002, 31 patients with a mean age of 55 years had a repeat percutaneous release to treat residual snapping or locking symptoms. Surgery was performed in the physician's office using the tip of a 19-gauge needle mounted on a 2-mL syringe. Patients received regular postoperative follow-up examinations at 1, 6, and 12 weeks after surgery, and at the last visit, they completed a questionnaire regarding the duration of pain or swelling and when were they able to return to normal work. Results Twenty-eight digits (90%) were completely free of triggering. Three digits (10%) during follow-up evaluation had residual snapping. Of these, 1 patient had repeated percutaneous release, which achieved an excellent outcome; 1 patient favored an open-release technique, and 1 patient refused further treatment. No complications were identified at the final follow-up examinations. Almost all patients returned to normal work within 3 days. Conclusions Percutaneous A1 pulley release is an effective, safe, and convenient technique for the primary trigger finger and as a secondary procedure for patients who have residual triggering after the initial surgical procedure. Type of study/level of evidence Therapeutic IV.
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Percutaneous
Recurrence
Surveys and Questionnaires
A1 pulley
Medicine
Humans
Orthopedics and Sports Medicine
Orthopedic Procedures
Stenosing tenosynovitis
Prospective Studies
Syringe
Aged
business.industry
Mean age
Middle Aged
medicine.disease
Trigger digit
Surgery
Treatment Outcome
Trigger Finger Disorder
Needles
Female
Trigger finger
business
Complication
Follow-Up Studies
Subjects
Details
- ISSN :
- 03635023
- Volume :
- 31
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- The Journal of hand surgery
- Accession number :
- edsair.doi.dedup.....c40ca024aeabe9b05f3f849d8ad070ab