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Retrograde Percutaneous Release of Trigger Finger or Thumb Using Sono-Instruments®: Detailed Technique, Pearls, and
Fabian Moungondo1, Luc Van Ovestraeten2, Mohammad O Boushnak3
1Department of Orthopedics and Traumatology, Université Libre de Bruxelles, Erasme University Hospital, Brussels, BEL.
Cureus
|January 26, 2024
Summary
This study introduces a novel retrograde percutaneous release technique for trigger finger stenosing tenosynovitis using a specialized sono-instrument. This minimally invasive approach offers faster recovery and immediate return to activities.
Area of Science:
- Orthopedics
- Minimally Invasive Surgery
Background:
- Trigger finger (stenosing tenosynovitis) is a common condition.
- Existing treatments include surgical and conservative options, with percutaneous release offering advantages like faster recovery.
Purpose of the Study:
- To describe a novel retrograde percutaneous A1 pulley release technique for trigger finger.
- To detail the use of a specialized sono-instrument designed for enhanced ultrasound visibility.
Main Methods:
- A truly percutaneous technique performed through a single needle puncture under local anesthesia.
- Utilizes a novel sono-instrument for retrograde release of the A1 pulley.
- Suitable for outpatient clinic settings.
Main Results:
- The technique is efficient and safe, minimizing postoperative discomfort.
- Allows for immediate return to daily living and professional activities.
- Requires surgeon proficiency in hand sonography.
Conclusions:
- This retrograde percutaneous release method, facilitated by the Sono-Instruments®, represents a new advancement in trigger finger treatment.
- The technique offers significant benefits in terms of recovery time and patient convenience.
