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Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

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Recalcitrant trigger finger managed with flexor digitorum superficialis resection.

Sohail N Husain¹, Sylvan E Clarke, Glenn A Buterbaugh

¹Essex Orthopaedics & Optima Sports Medicine, Salem, New Hampshire 03079, USA. snhusain@yahoo.com

American Journal of Orthopedics (Belle Mead, N.J.)

|January 24, 2012

Summary

This summary is machine-generated.

Persistent trigger finger after A1 pulley release can be effectively treated by resecting the flexor digitorum superficialis tendon slips. This surgical intervention resolves symptoms and restores hand function, offering a solution for recalcitrant cases.

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Area of Science:

Orthopedic Surgery
Hand Surgery
Musculoskeletal Disorders

Background:

Trigger finger (stenosing tenosynovitis) is common, often treated with A1 pulley release.
Limited literature exists on managing persistent trigger finger post-A1 pulley release.

Purpose of the Study:

To evaluate the efficacy of flexor digitorum superficialis (FDS) tendon slip resection for persistent trigger finger after A1 pulley release.

Main Methods:

Retrospective review of 11 patients (12 fingers) undergoing FDS resection for recalcitrant trigger finger.
Follow-up assessed symptom resolution, pain (VAS), function (DASH), grip/pinch strength, and range of motion.

Main Results:

All 11 patients (12 fingers) achieved symptom resolution.
Mean Visual Analog Scale (VAS) score was 1.5; mean Disabilities of the Arm, Shoulder, and Hand (DASH) score was 17.
Grip/pinch strength was comparable to the contralateral side; mean total active range of motion was 252°.

Conclusions:

Resection of one or both FDS tendon slips is an effective treatment for trigger finger persisting after A1 pulley release.
This procedure successfully resolves symptoms and improves functional outcomes.