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Percutaneous release of trigger digit with and without cortisone injection
1Division of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
The Journal of Hand Surgery
|January 1, 1997
Summary
Percutaneous release effectively treats trigger digits, with higher success rates when combined with cortisone injection. This minimally invasive office procedure reduces costs and patient anxiety.
Area of Science:
- Orthopedics
- Hand Surgery
- Minimally Invasive Procedures
Background:
- Trigger digits cause pain and limited mobility.
- Current treatments include conservative measures and surgery.
- Percutaneous release offers a less invasive surgical option.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous release for trigger digits.
- To compare outcomes with and without cortisone injection.
- To assess the need for repeat procedures or open release.
Main Methods:
- Percutaneous release performed using an 18-gauge needle in 225 trigger digits.
- Digits were divided into two groups: with and without cortisone injection.
- Outcomes including success rate, pain duration, and need for repeat or open release were recorded.
Main Results:
- Success rates were 89% without cortisone and 96% with cortisone.
- Pain resolved faster with cortisone injection (6 weeks vs. 8 weeks).
- Repeat percutaneous release and open release rates were low, especially after technique modification.
Conclusions:
- Percutaneous release is a highly effective treatment for trigger digits.
- Combining percutaneous release with cortisone injection improves outcomes.
- The procedure is safe, cost-effective, and well-tolerated in an office setting.