SAFETY AND EFFICACY OF PERCUTANEOUS TRIGGER FINGER RELEASE

被引：89

作者：

POPE, DF ^{[1
]}

WOLFE, SW ^{[1
]}

机构：

[1] YALE UNIV,SCH MED,DEPT ORTHOPAED & REHABIL,NEW HAVEN,CT 06520

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1995年 / 20A卷 / 02期

关键词：

D O I：

10.1016/S0363-5023(05)80026-7

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Twenty-five A1 pulleys in 5 fresh cadaveric hands and 13 trigger fingers in 11 patients were released percutaneously with a 19 gauge needle, as described by Eastwood et al., to determine the efficacy and safety of the technique. Over 90% of the length of each individual finger and thumb A1 pulley were successfully released in the cadaveric digits with no injuries to the A2 pulley, nerves, or vessels. Superficial abrasions were noted in four superficialis tendons. In our surgical series, complete clinical release (eradication of triggering) was achieved in each digit. In 8 of 13 digits, the A1 pulley was found to be completely divided on open exploration. In five digits, while triggering was eliminated, some of the A1 pulley remained intact. There were no complications. Because of the proximity of digital nerves, we do not perform percutaneous release in the index finger or thumb.

引用

页码：280 / 283

页数：4

共 14 条

[1]

Bonnici, Spencer, A survey of “trigger finger” in adults, J Hand Surg, 13 B, pp. 202-203, (1988)

[2]

Thorpe, Results of surgery for trigger finger, J Hand Surg, 13 B, pp. 199-201, (1988)

[3]

Eastwood, Gupta, Johnson, Percutaneous release of the trigger finger: an office procedure, J Hand Surg, 17 A, pp. 114-117, (1992)

[4]

Lyu, Closed division of the flexor tendon sheath for trigger finger, J Bone Joint Surg, 74 B, pp. 418-420, (1992)

[5]

Lorthioir, Surgical treatment of trigger finger by a subcutaneous method, J Bone Joint Surg Am, 40 A, pp. 793-795, (1958)

[6]

Tanaka, Muraji, Negoro, Yamashita, Nakano, Nakano, Subcutaneous release of trigger thumb and fingers in 210 fingers, J Hand Surg, 15 B, pp. 463-465, (1990)

[7]

Anderson, Kaye, Treatment of flexor tenosynovitis of the hand (‘trigger finger’) with corticosteroids, Arch Intern Med, 151, pp. 153-156, (1991)

[8]

Marks, Gunther, Efficacy of cortisone injection in treatment of trigger fingers and thumbs, J Hand Surg, 14 A, pp. 722-727, (1989)

[9]

Newport, Lane, Stuchin, Treatment of trigger finger by steroid injection, J Hand Surg, 15 A, pp. 748-750, (1990)

[10]

Freiberg, Mulholland, Levine, Nonoperative treatment of trigger fingers and thumbs, J Hand Surg, 14 A, pp. 553-558, (1989)

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