Open trigger finger release for stenosing tenosynovitis

2015 ◽  
pp. 271-274
Author(s):  
BENJAMIN COUSINS ◽  
HAARIS MIR
Keyword(s):  
Trigger Finger ◽  
Stenosing Tenosynovitis

Management of Stenosing Tenosynovitis (trigger finger) with Ayurved- A case study

2020 ◽  
Vol 8 (01) ◽  
Author(s):  
Sunil D. Tagalpallewar
Keyword(s):  
Middle Finger ◽  
Tendon Sheath ◽  
Finger Joint ◽  
Trigger Finger ◽  
Complete Relief ◽  
Painful Condition ◽  
Flexor Tendons ◽  
Stenosing Tenosynovitis ◽  
Ayurvedic Treatment

Trigger finger is a painful condition that makes your fingers or thumb catch or lock when you bend them. It can affect any finger, or more than one. You might hear it called stenosing tenosynovitis. Most of the time, it comes from a repeated movement or forceful use of your finger or thumb. It can also happen due to inflammation. Local swelling from inflammation or scarring of the tendon sheath (tenosynovium) around the flexor tendons causes trigger finger. These tendons normally pull the affected digit inward toward the palm (flexion). When they are inflamed, they tend to catch where they normally slide through the tendon sheath. A 62 year old patient visited OPD. He was having symptoms on right hand middle finger and side finger.  He has difficulty in folding joint and if he fold finger joint he was unable to straight the joint. There was no relief aftermodern medicine. So he wishes to start Ayurvedic treatment. As per ayurved it is sandhi snayugat vata vikar. So considering this diagnosis, ksheerbala 101-  2 capsules tds were prescribed. Patient got complete relief after 3 months.

scholarly journals Results of percutaneous release of stenosing tenosynovitis (trigger finger) using hypodermic needle

2019 ◽  
Vol 5 (4) ◽  
pp. 578
Author(s):  
Shiv Kumar ◽  
Khalid Muzzafar ◽  
Irfan Tasaduq ◽  
Arpan Bijyal
Keyword(s):  
Hand Function ◽  
Trigger Finger ◽  
Hypodermic Needle ◽  
Common Condition ◽  
Open Release ◽  
Percutaneous Release ◽  
Stenosing Tenosynovitis ◽  
Level Hospital ◽  
A1 Pulley

<p class="abstract"><strong>Background:</strong> Stenosing tenosynovitis or trigger finger is a common condition affecting finger function, which can lead to disability in hand function. Treatment in form of conservative can be helpful in early stages, however later stages and chronic triggering needs release of A1 pulley either by open or percutaneous methods. The aim of this study was to find the results of percutaneous release of trigger finger with 18 guage needle.</p><p class="abstract"><strong>Methods:</strong> 43 digits in 36 patients were enrolled for this prospective study in a district level hospital over a 2 year period. Release was done under local anaesthesia using 18 guage needle percutaneously. Follow up was done upto 6 months. Final scoring was done at 6 months using Quinell’s criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> We had 81.39% (35 out of 43) excellent to good results. 19.61% (8) needed open release. We had no neurovascular injury or infection in our series.</p><p class="abstract"><strong>Conclusions:</strong> Percutaneous release by 18 guage needle is safe and effective treatment for trigger finger without much complication.</p>

Results of Surgery for Trigger Finger

1988 ◽  
Vol 13 (2) ◽  
pp. 199-201
Author(s):  
A. P. THORPE
Keyword(s):  
Conservative Therapy ◽  
Nerve Damage ◽  
Trigger Finger ◽  
Functional Deficit ◽  
Major Complications ◽  
Stenosing Tenosynovitis ◽  
Results Of Surgery

Forty-three patients were reviewed between 17 and 113 months (mean of 47 months) following surgery for acquired stenosing tenosynovitis of the fingers or thumbs. 32 (60.4%) of the 53 operations were completely successful. Of the remaining 21 operations, 26% either failed to relieve all symptoms, or symptoms had recurred at review. 15 operations led to complications that bothered the patient to some extent. Three procedures resulted in significant functional deficit of the hand, two because of nerve damage and one because of stiffness following infection. The three major complications all followed operations performed by junior surgeons. The importance of an adequate trial of conservative therapy to avoid unnecessary surgery is emphasised.

scholarly journals The Management of Trigger Finger: A 5-Year Retrospective Review

2021 ◽  
Vol 4 (2) ◽  
Keyword(s):  
General Population ◽  
Retrospective Review ◽  
Flexor Tendon ◽  
Age Of Onset ◽  
Ring Finger ◽  
Trigger Finger ◽  
Dominant Hand ◽  
Increased Risk ◽  
Stenosing Tenosynovitis ◽  
A1 Pulley

Stenosing tenosynovitis, generally known as Trigger Finger (TF), is a common hand disorder characterized by pain and locking of the affected digit, which is often found on the dominant hand [1- 3]. This locking occurs when swelling or thickening of the flexor tendon restricts its ability to glide through the A1 pulley during flexion or extension [4, 5]. The general population has a two percent lifetime risk of developing trigger finger, with an average age of onset of 50 years [6, 7]. Women are affected up to six times more than men and diabetics have an increased risk of 10% [8, 9]. Although all digits are susceptible, evidence has shown the ring finger and thumb to be the most affected [10].

scholarly journals The Effect of Trigger Finger Injection Site on Injection-Related Pain

Hand ◽  
2017 ◽  
Vol 13 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Yoseph A. Rosenbaum ◽  
Nikki Benvenuti ◽  
Jingzhen Yang ◽  
Michael E. Ruff ◽  
Hisham M. Awan ◽  
...  
Keyword(s):  
Pain Perception ◽  
Trigger Finger ◽  
Common Condition ◽  
Analog Scale ◽  
Duration Of Symptoms ◽  
Pain Scores ◽  
Patient Pain ◽  
Stenosing Tenosynovitis ◽  
Injection Methods

Background: Stenosing tenosynovitis, or trigger digit, is a common condition for which patients often seek relief. Corticosteroid injections have been shown to provide relief in many cases, and several different approaches for delivering the injection have been described in the literature. We compared patients’ perception of pain following each of 3 accepted injection methods, namely, palmar proximal, palmar distal, and webspace approaches. Methods: We prospectively followed 38 patients with 39 symptomatic digits in this trial, with varying severities of trigger finger as graded by the Patel and Moradia classification. The patients were divided into 3 groups representing the 3 approaches without randomization, based upon the treating surgeons’ preference. Disabilities of the Arm, Shoulder and Hand and visual analog scale (VAS) pain scores were calculated pre-injection and at 4-week and 8-week follow-up visits. Results: No statistically significant differences in age, sex, affected extremity, grade, or duration of symptoms were observed among the 3 approaches. No statistically significant differences in VAS score were found between the palmar proximal (mean = 6.6, SD = 2.6), palmar distal (mean = 6.0, SD = 2.8), and webspace (mean = 6.8, SD = 1.8) approaches. Conclusion: Our data suggest that injection approach does not affect patient pain perception scores or outcomes. We recommend that the technique that is most comfortable to the surgeon be utilized, with the understanding that one injection alone has a low likelihood of relieving symptoms.

scholarly journals Features of minimally invasive ligamentotomy of the thumb A1 pulley (our experience)

2021 ◽  
Vol 24 (2) ◽  
pp. 64-73
Author(s):  
A. V. Zhigalo ◽  
V. V. Pochtenko ◽  
V. V. Morozov ◽  
P. A. Berezin ◽  
M. A. Zhogina ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Average Length ◽  
Outpatient Setting ◽  
Trigger Finger ◽  
Safe Procedure ◽  
Results Of Treatment ◽  
Orthopedic Surgeons ◽  
Lower Treatment ◽  
Stenosing Tenosynovitis ◽  
A1 Pulley

Objective. Stenosing tenosynovitis (Nott’s disease, "trigger finger") is one of the most common pathologies of the hand which hand surgeons and orthopedic surgeons have to deal with. A variety of conservative methods are used to treat “trigger finger", including individual splinting and corticosteroid injections. Surgical treatment consists of dissection of the A1 pulley. Traditionally, the operation starts with a small incision. However, in recent years, a number of articles have appeared that report that percutaneous ligamentotomy on II-V fingers is a safe and effective alternative to an open surgery. Due to anatomical features, some authors do not recommend performing a percutaneous ligamentotomy on the thumb, fearing the damage it can cause to the digital nerves.The purpose of this research is to show that the minimally invasive needle ligamentotomy of the thumb A1 pulley is a safe procedure and to conduct the approbation of the offered method.Material and methods. The research consisted of two parts - anatomical and clinical. In the anatomical part of the research (8 upper extremities of 4 unfixed corpses), we proposed the safe accesses in order to conduct percutaneous ligamentotomy of the thumb A1 pulley.In the clinical part of the study we tested a minimally invasive ligamentotomy and analysed the results of treatment in 109 patients with stenosing tenosynovitis of the thumb II-IV stage by Green aged from 28 to 80. All patients received minimally invasive ligamentotomy of the A1 pulley with 18g needle under local anaesthesia (120 surgeries). Average length of the operation was several minutes. All procedures were performed outpatiently. Evaluation of the results of treatment was performed using the Visual Analog Scale (VAS) and Gilberts questionnaire. The observation period was from 12 months up to 24 months.The results. In most cases both clinical and esthetical results were excellent. It was possible to eliminate the “trigger” of the finger intraoperatively for all patients. However, 6 (5.5%) patients complained about the presence of residual clicks due to incomplete dissection of the ligament at the control examination a week later. Percutaneous ligamentotomy was conducted again on all patients with successful outcomes. No recurrence of the disease was noted. 17% of patients tend to complain about pain in the A1 pulley localization during the first week after the operation.Conclusion. The empirical findings prove the efficiency and safety of percutaneous ligamentotomy of the thumb A1 pulley. One of the merits of this technique is a lower risk of postoperative complications and lower treatment expenses. This technique can be successfully used in the practice of hand surgeons in the outpatient setting that have the experience with the conduction of open operations.

REPORT OF AN UNUSUAL CASE OF TRIGGER FINGER SECONDARY TO PHALANGEAL EXOSTOSIS

Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 135-138 ◽  
Author(s):  
S. J. Lee ◽  
R. W. H. Pho
Keyword(s):  
Physical Examination ◽  
Unusual Case ◽  
Middle Finger ◽  
Tendon Sheath ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Trigger Finger ◽  
Anomalous Muscle ◽  
Stenosing Tenosynovitis ◽  
Left Middle

Trigger finger is commonly secondary to stenosing tenosynovitis. Space occupying lesions in the tendon bed, although uncommon, may prevent smooth tendon gliding. These include lipoma, anomalous muscle insertions, tumours of the tendon sheath and haemangiomas. We describe a patient who had triggering of the left middle finger at the proximal interphalangeal joint due to an exostosis blocking the flexor tendons gliding. Removal of the exostosis relieved the problem. The clinician must be aware that there are other causes for triggering. These may be identified with pertinent findings in the history and physical examination.

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