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Modified percutaneous trigger finger release
J-D Werthel1, M Cortez2, B T Elhassan1
1Department of Orthopedic Surgery, Mayo Clinic, 200, First Street S.W., Rochester, MN 55905, USA.
Hand Surgery & Rehabilitation
|October 15, 2016
Summary
This study found an alternative percutaneous release technique for trigger finger is safe and effective. Most patients experienced high satisfaction with this minimally invasive procedure for stenosing tenosynovitis.
Area of Science:
- Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Stenosing tenosynovitis, commonly known as trigger finger, is a frequent condition affecting the hand's flexor tendons.
- Percutaneous release offers advantages over open surgery, including being less invasive and more cost-effective.
Purpose of the Study:
- To evaluate the outcomes of an alternative percutaneous trigger finger release technique.
- To assess the safety, efficacy, and patient satisfaction associated with this minimally invasive approach.
Main Methods:
- A cohort of 92 patients (128 fingers) underwent the alternative percutaneous release between March 2008 and January 2014.
- Outcomes measured included skin incision size, pain, residual symptoms, patient satisfaction, and complications, with a minimum 6-month follow-up.
Main Results:
- The percutaneous release was successful in 94% of cases (120 fingers).
- Only 6% of cases (8 fingers) required revision open surgery due to persistent symptoms.
- High patient satisfaction was reported, with 95% rating their outcome as 'much better' and 32 as 'better' at final follow-up.
Conclusions:
- The alternative percutaneous trigger finger release is a reliable and safe procedure.
- This technique demonstrates a high level of patient satisfaction for treating stenosing tenosynovitis.
