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Percutaneous release for trigger thumb in children under general and local anesthesia
Hsien-Chung Wang1, Gau-Tyan Lin
1Department of Orthopedic Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|December 29, 2004
Summary
Percutaneous release effectively treats pediatric trigger thumb, achieving a 90% success rate regardless of anesthesia type. This minimally invasive procedure offers a safe and reliable solution for children with trigger thumb.
Area of Science:
- Pediatric Orthopedics
- Minimally Invasive Surgery
Background:
- Trigger thumb in children is a common condition affecting hand function.
- Surgical intervention, specifically A1 pulley release, is often necessary for treatment.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous release for pediatric trigger thumb.
- To compare outcomes between local and general anesthesia for this procedure.
Main Methods:
- Retrospective trial involving 33 children (40 trigger thumbs) treated between 1989 and 2003.
- Procedures performed under local or general anesthesia based on patient tolerance.
- Assessment of release success, recurrence, and residual deformity.
Main Results:
- A 90% overall success rate for percutaneous release was achieved, with no recurrence.
- Local anesthesia group: 23 of 26 trigger thumbs successfully released.
- General anesthesia group: only one unsatisfactory outcome.
- No statistically significant difference in outcomes between anesthesia types (p=0.66).
Conclusions:
- Percutaneous release is a highly effective and safe treatment for pediatric trigger thumb.
- The choice of anesthesia (local vs. general) does not significantly impact the success rate.
- The procedure leads to full extension and flexion without residual deformity.