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Results of surgery for trigger finger
1Department of Orthopaedic and Fracture Surgery, Queen's Medical Centre, Nottingham.
Journal of Hand Surgery (Edinburgh, Scotland)
|May 1, 1988
Summary
Surgery for acquired stenosing tenosynovitis of the fingers and thumbs had a 60.4% success rate in a 47-month review. Complications, including nerve damage and stiffness, occurred in 15 operations, with major issues linked to junior surgeons.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Acquired stenosing tenosynovitis affects the fingers and thumbs, causing pain and limited mobility.
- Surgical intervention is a common treatment for this condition when conservative therapies fail.
Purpose of the Study:
- To evaluate the long-term outcomes and complication rates of surgical treatment for acquired stenosing tenosynovitis.
- To identify factors associated with surgical success and failure.
Main Methods:
- A retrospective review of 53 surgical procedures for acquired stenosing tenosynovitis in 43 patients.
- Follow-up ranged from 17 to 113 months, with a mean of 47 months.
Main Results:
- Overall, 60.4% of operations were completely successful.
- 26% of remaining operations had persistent or recurrent symptoms.
- 15 operations resulted in complications, with three major functional deficits (nerve damage, stiffness post-infection).
- Major complications were associated with procedures performed by junior surgeons.
Conclusions:
- Surgery for acquired stenosing tenosynovitis offers a high success rate but carries risks of complications.
- Conservative therapy should be adequately trialed to avoid unnecessary surgical procedures.
- Surgeon experience may influence the risk of severe complications.