Percutaneous release of trigger finger and its functional outcome

Authors

  • Sulabh Maheshwari Department of Orthopaedics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Aditya K. Mishra Department of Orthopaedics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Raunaq Saxena Department of Orthopaedics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Bilal Kaleem Department of Orthopaedics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Navneet Badoni Department of Orthopaedics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20240331

Keywords:

Percutaneous release, Trigger finger, Functional outcome, Minimally invasive surgery

Abstract

Background: An overview of percutaneous release for trigger finger and its functional outcomes.

Methods: The present prospective controlled analytical study was conducted after taking approval from center human ethical committee. A written and informed consent was obtained. There were 50 patients who reported to outpatient department (OPD) with symptoms suggestive of trigger thumb/ finger, were subjected to the study.

Results: Most of the patients belonged to the age group of 41-50 years. Majority of patients were females (56%) and males were (44%). Most of the patients had the right 1st digit involved (32%), followed by left 1st and right 3rd digit (18% each). Before the release of affected digit, 56% were grade 3, 26% were grade 4 and only 18% were grade 1. Complete resolution immediately after the procedure was seen in 82% cases. Pre procedure, mean VAS of 8.4 reduced to mean VAS of 6.2 immediate post procedure. At 48 hours post procedure, mean VAS of 3.06 and mean VAS of 1.12 was seen at 1-month post procedure period. At 3 months post procedure, mean VAS of 0.42. 94% cases had no complications.

Conclusions: Percutaneous release of trigger finger is a safe and effective procedure associated with favorable functional outcomes. It provides an alternative treatment option for patients who have failed conservative management or prefer a minimally invasive approach.

References

Notta A. Research on a particular condition of the tendon sheaths of the hand, characterized by the development of a nodosis along the path of the flexor tendons of the fingers and by the impediment of their movements. Arch Gen Med.1850;24:142.

Menzel A. On springing fingers. Boston Med Surg J. 1874;91:298-300.

Howard L, Pratt D, Bunnell S. The Use of Compound F (Hydrocortone) in Operative and Non-operative Conditions of the Hand. J Bone Joint Surg. 1953;35(4):994-1002.

Lorthioir J. Surgical Treatment of Trigger-Finger by a Subcutaneous Method. J Bone Joint Surg. 1958;40(4):793-5.

Hueston JT, Wilson WF. The aetiology of trigger finger explained on the basis of intratendinous architecture. Hand. 1972;4:257-60.

Doyle JR, Blythe WF. The finger flexor tendon sheath and pulleys: anatomy and reconstruction. AAOS Symposium on tendon surgery in hand. St. Louis: the CV Mosby Company. 1975;81.

Doyle JR, Blythe WF. Anatomy of the flexor tendon sheath and pulleys of the thumb. J Hand Surg. 1977;2:149.

Quinnell RC. Conservative management of trigger finger. The Practitioner. 1980;224:187-90.

Freiberg A1, Mulholland RS, Levine R. Nonoperative treatment of trigger fingers and thumbs. J Hand Surg Am. 1989;14(3):553-8.

Lin GT, Amadio PC, An KN, et al. Functional anatomy of the human digital flexor pulley system. J Hand Surg [Am]. 1989;14:949-56.

Yosipovitch G1, Yosipovitch Z, Karp M, Mukamel M. Trigger finger in young patients with insulin dependent diabetes. J Rheumatol. 1990;17(7):951-2.

Anderson B1, Kaye S. A prospective study of the response to local injection. Arch Intern Med. 1991;151(1):153-6.

Panghate A, Panchal S, Prabhakar A, Jogani A. Outcome of percutaneous trigger finger release technique using a 20-gauge hypodermic needle. J Clin Orthop Trauma. 2020;15:55-9.

Rawat P, Vij K, Percutaneous release of trigger finger: An easy and safe procedure. Indian J Orthop Surg. 2018;4(2):137-40.

Pandey BK, Sharma S, Manandhar RR, Pradhan RL, Lakhey S, Rijal KP. Percutaneous trigger finger release. Nepal Orthop Assoc J. 2013;1(1).

Ghazy AS, Bayoumy EM, Ali EE. Evaluation of percutaneous release of trigger finger. Benha J Appl Sci. 2022;7(2):79-82.

Haki et AL.reported no complications after their 185 PR procedures.

Jegal M, Woo SJ, Il Lee H, Shim JW, Park MJ. Effects of simultaneous steroid injection after percutaneous trigger finger release: a randomized controlled trial. J Hand Surg. 2019;44(4):372-8.

Colbourn J, Heath N, Manary S, Pacifico D. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther. 2008;21(4):336-43.

Eastwood DM, Gupta KJ, Johnson DP. Percutaneous release of the trigger finger: An office procedure. J Hand Surg Am. 1992;17:114-7.

Ragoowansi R, Acornley A, Khoo CT. Percutaneous trigger finger release: The ‘lift-cut’ technique. Br J Plast Surg. 2005;58:817-21.

Rajeswaran G, Lee JC, Eckersley R, Katsarma E, Healy JC. Ultrasoundguided percutaneous release of the annular pulley in trigger digit. Eur Radiol. 2009;19(9):2232-7.

Pegoli L, Cavalli E, Cortese P, Parolo C, Pajardi G. A comparison of endoscopic and open trigger finger release. Hand Surg. 2008;13(3):147-51.

Patel MR, Moradia VJ. Percutaneous release of trigger digit with and without cortisone injection. J Hand Surg Am. 1997;22(1):150-5.

Will R, Lubahn J. Complications of open trigger finger release. J Hand Surg Am. 2010;35(4):594-6.

Gregory A. Turowski, Peter D. Zdankiewicz, J. Grant Thomson. The results of surgical treatment of trigger finger. J Hand Surg. 1997;22(1):145-9.

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Published

2024-02-19

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Original Research Articles