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Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

794
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
794

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Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
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Risk Factors for Requiring Ulnar Superficialis Slip Resection During Trigger Finger Release.

Stephanie A Kwan1, Matthew B Sherman2, Daniel Fletcher2

  • 1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD.

The Journal of Hand Surgery
|October 1, 2024
PubMed
Summary
This summary is machine-generated.

Ulnar superficialis slip resection (USSR) is an uncommon but effective procedure for persistent trigger finger release (TFR). Patients with a history of multiple trigger fingers or prior TFRs are more likely to require this additional surgery.

Keywords:
Flexor digitorum superficialishemislipsurgerytenosynovitistrigger fingerulnar superficialis slip resection

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Area of Science:

  • Hand Surgery
  • Orthopedics
  • Musculoskeletal Disorders

Background:

  • Persistent triggering after trigger finger release (TFR) can necessitate further intervention.
  • Ulnar superficialis slip resection (USSR) is a described technique for refractory cases.
  • Wide-awake local anesthesia no tourniquet (WALANT) offers a minimally invasive approach.

Purpose of the Study:

  • To evaluate the outcomes of simultaneous TFR and USSR under WALANT.
  • To identify risk factors for persistent triggering requiring USSR after A1 pulley release.

Main Methods:

  • Retrospective review of 1,005 patients undergoing TFR under WALANT.
  • Comparison of 12 patients who underwent TFR with USSR to a matched cohort of 28 patients who had TFR alone.
  • Analysis of demographics, previous procedures, and postoperative outcomes.

Main Results:

  • 1.2% of patients (12/1005) required USSR for persistent triggering.
  • Patients needing USSR had more lifetime trigger fingers and a history of prior TFRs.
  • No serious complications were noted, though USSR patients more frequently required hand therapy.

Conclusions:

  • Simultaneous TFR and USSR under WALANT is a viable option for persistent trigger finger.
  • A history of multiple trigger fingers or prior TFRs predicts the need for USSR.
  • Patients undergoing USSR may benefit from postoperative hand therapy.