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Related Experiment Videos

Outcome of open trigger digit release.

M-H Lim1, K-K Lim, M Z Rasheed

  • 1Department of Hand Surgery, Singapore General Hospital, Singapore, Singapore.

The Journal of Hand Surgery, European Volume
|May 8, 2007
PubMed
Summary

Steroid injections are recommended as the first-line treatment for trigger digits. Open trigger digit release surgery is effective for refractory cases, with a low complication rate and no recurrences observed.

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Area of Science:

  • Hand Surgery
  • Orthopedics
  • Musculoskeletal Disorders

Background:

  • Trigger digit, a common condition affecting the hand, causes pain and functional limitation.
  • Non-operative treatments are typically the initial approach for managing trigger digits.

Purpose of the Study:

  • To review the outcomes of open trigger digit release surgery.
  • To evaluate complication rates and recurrence following surgical intervention.

Main Methods:

  • A retrospective review of 483 open trigger digit releases in 373 patients over one year.
  • Data collected from case records, with a minimum 6-month postoperative follow-up.

Main Results:

  • The most affected digits were the ring (42%) and middle (26%) fingers.

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  • Grades II (51%) and III (33%) trigger digits were most prevalent.
  • The overall complication rate was 1%, including superficial wound dehiscence, extension lag, and stiffness.
  • No recurrences of triggering were reported.

    • Conclusions:

    • Steroid injections are recommended as the first-line treatment for trigger digits.
    • Open surgical release is effective for refractory and severe cases of trigger digits, offering a low complication rate and no recurrences.