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Percutaneous release of trigger digits.

N Blumberg1, R Arbel, S Dekel

  • 1Department of Orthopaedic B, Ichilov Hospital, Tel-Aviv, Israel. Blombergh@tasmc.health.gov.il

Journal of Hand Surgery (Edinburgh, Scotland)
|June 2, 2001
PubMed
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Percutaneous release using an 18-gauge needle effectively treated trigger digits in most patients. This minimally invasive procedure offered complete symptom relief for 29 out of 31 affected digits.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Minimally Invasive Procedures

Background:

  • Trigger digit, also known as stenosing tenosynovitis, is a common condition affecting the hand.
  • It causes pain and mechanical locking of the finger or thumb due to inflammation and thickening of the tendon sheath.
  • Traditional treatments include conservative management and open surgical release.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous release using an 18-gauge needle for treating trigger digits.
  • To assess the outcomes of this minimally invasive technique in a clinical setting.

Main Methods:

  • Twenty-nine patients with 31 trigger digits underwent percutaneous release under local anesthesia with an 18-gauge needle.
  • Patients were followed up for a mean of 14 months post-procedure.

Related Experiment Videos

  • Outcomes assessed included symptom relief and need for further intervention.

    • Main Results:

    • Complete symptom relief was achieved in 29 out of 31 trigger digits (93.5%) across 27 patients.
    • One patient experienced recurrent symptoms in their thumb and required subsequent open release.
    • No other complications were reported in the follow-up period.

    Conclusions:

    • Percutaneous release with an 18-gauge needle is a highly effective and safe minimally invasive treatment for trigger digits.
    • This technique offers a high success rate for symptom resolution, with a low recurrence rate.
    • It presents a viable alternative to open surgery for managing stenosing tenosynovitis of the hand.