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Ulnar Superficial Slip Resection for Resistant Trigger Finger: A Minimally Invasive Technique.

Mohammadreza Azarpira1, Ghada Asmar1, Marc-Olivier Falcone1,2

  • 1Ramsay Générale de Santé-Capio-Hôpital Privé Paul d'Egine, Champigny-sur-Marne.

Techniques in Hand & Upper Extremity Surgery
|June 14, 2022
PubMed
Summary

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This study introduces a minimally invasive surgery for trigger finger, specifically targeting persistent contractures after A1 pulley release. The technique shows promise for treating resistant and recurrent trigger finger cases.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Trigger finger (primary) is a common hand condition.
  • Nonoperative treatments or A1 pulley release are typically effective.
  • Resistant or recurrent cases require advanced surgical interventions.

Purpose of the Study:

  • To present a minimally invasive surgical technique for ulnar superficial slip resection.
  • To define indications for this specific surgical approach.
  • To report clinical outcomes of patients undergoing this procedure.

Main Methods:

  • Minimally invasive ulnar superficial slip resection surgery.
  • Indications include persistent proximal interphalangeal joint contracture post-A1 pulley release and recurrent trigger finger.

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  • Clinical outcomes were assessed post-operatively.
  • Main Results:

    • The study reports on the clinical outcomes of patients treated with this minimally invasive technique.
    • Specific results regarding contracture improvement and recurrence rates are detailed.

    Conclusions:

    • The minimally invasive ulnar superficial slip resection is a viable option for specific trigger finger cases.
    • This technique addresses persistent contractures and recurrent conditions effectively.