Abstract
Introduction
Trigger finger and thumb are amongst the most common hand disabilities seen by orthopaedic surgeons. Surgical release of the first annular pulley (A1) is generally indicated when non-operative treatment fails. We present the long-term results of open operative treatment of trigger finger or trigger thumb in adults performed by a single surgeon.
Method
From July 1988 to 1998, 305 trigger fingers or thumbs in 276 consecutive patients were treated operatively, including 179 women and 97 men. The average age at operation time was 46.2 years.
Results
Two hundred and ten (76%) of the operations were performed for a single trigger digit release, 76 (24%) for multiple trigger digits in individual patients. All operations were done under tourniquet control with local infiltration anaesthesia under outpatient conditions using a transverse incision just distal to the distal palmar crease or on the flexor crease of the thumb at the metacarpophalangeal joint. At latest follow-up after an average of 14.3 years (min: 10, max: 20) 234 patients could be evaluated and were out of complaints, there were no serious complications such as nerve transection or bowstringing or recurrencies.
Conclusion
We recommend open surgery of trigger finger and trigger thumb.
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References
Akhtar S, Bradley MJ, Quinton DN, Burke FD (2005) Management and referral for trigger finger/thumb. Br Med J 331:30–33
Cebesoy O, Kose KC, Baltaci ET, Isik M (2007) Percutaneous release of the trigger thumb: is it safe, cheap and effective? Int Orthop 31:345–349
Finsen V, Hagen S (2003) Surgery for trigger finger. Hand Surg 8:201–203
Gilberts EC, Wereldsma JC (2002) Long-term results of percutaneous and open surgery for trigger fingers and thumbs. Int Surg 87:48–52
Ha KI, Park MJ, Ha CW (2001) Percutaneous release of trigger digits. J Bone Joint Surg Br 83:75–77
Lim MH, Lim KK, Rasheed MZ, Narayanan S, Beng-Hoi Tan A (2007) Outcome of open trigger digit release. J Hand Surg Eur 32:457–459
Maneerit J, Sriworakun C, Budhraja N, Nagavajara PN (2003) Trigger thumb: results of a prospective randomised study of percutaneous release with steroid injection versus steroid injection alone. J Hand Surg (Br) 28:586–589
Moore JS (2000) Flexor tendon entrapment of the digits (trigger finger and trigger thumb). J Occup Environ Med 42:526–545
Moriya K, Uchiyama T, Kawaji Y (2005) Comparison of the surgical outcomes for trigger finger and trigger thumb: preliminary results. Hand Surg 10:83–86
Paaske BP, Søe-Nielsen NH, Noer HH (1995) Release of trigger finger in children. Long term results. Scand J Plast Reconstr Surg Hand Surg 29:65–67
Rozental TD, Zurakowski D, Blazar PE (2008) Trigger finger: prognostic indicators of recurrence following corticosteroid injection. J Bone Joint Surg Am 90:1665–1672
Ryzewicz M, Wolf JM (2006) Trigger digits: principles, management, and complications. J Hand Surg (Am) 31:135–146
Sbernardori MC, Bandiera P (2007) Histopathology of the A1 pulley in adult trigger fingers. J Hand Surg Eur 32:556–559
van den Borne MP, Custers FJ, van der Aa JP, van der Eijken JW (2000) ‘Trigger thumb’ in 38 children: good short-term and long-term results from surgery. Ned Tijdschr Geneeskd 144:374–377
Yiannakopoulos CK, Ignatiadis IA (2006) Transdermal anaesthesia for percutaneous trigger finger release. Hand Surg 11:159–162
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Lange-Rieß, D., Schuh, R., Hönle, W. et al. Long-term results of surgical release of trigger finger and trigger thumb in adults. Arch Orthop Trauma Surg 129, 1617–1619 (2009). https://doi.org/10.1007/s00402-008-0802-8
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DOI: https://doi.org/10.1007/s00402-008-0802-8