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Published on: May 26, 2023
Percutaneous trigger thumb release with 18 guage needle
1Department of Orthopedics, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand. torudom@hotmail.com
Summary
Percutaneous release effectively treats trigger thumbs with minimal complications. This safe and cost-effective procedure significantly reduces pain and improves function, offering a valuable treatment option.
Area of Science:
- Orthopedics
- Hand Surgery
- Minimally Invasive Procedures
Background:
- Trigger thumb (stenosing tenosynovitis) is a common condition causing pain and limited motion.
- Surgical intervention is often required for persistent symptoms.
Purpose of the Study:
- To evaluate the clinical outcomes and safety of percutaneous release for trigger thumbs.
- To assess the efficacy of this minimally invasive technique in alleviating trigger thumb symptoms.
Main Methods:
- A cohort of 43 patients (45 thumbs) underwent percutaneous release under local anesthesia.
- Pain levels were quantified using the Visual Analog Scale (VAS) preoperatively and postoperatively.
Main Results:
- Successful release was achieved in 43 thumbs, with significant VAS score reduction from 30.6 preoperatively to 3.5 at 1 month and 2.1 at 2 months (p < 0.05).
- Two thumbs required open release due to incomplete symptom resolution. No wound complications or neurovascular injuries were reported.
- A statistically significant improvement in pain was observed between the first and second postoperative months.
Conclusions:
- Percutaneous release is a safe, effective, and cost-efficient treatment for trigger thumbs.
- The procedure demonstrates a low complication rate and significant patient-reported pain reduction.
