Outpatient Percutaneous Release of Trigger Finger: A Cost Effective and Safe Procedure
Journal Title: Malaysian Orthopaedic Journal - Year 2017, Vol 11, Issue 1
Abstract
Introduction: Trigger finger is a common cause of pain and disability of the hand. Percutaneous release results in earlier functional recovery and patient satisfaction. This is a rapid and cost-effective method which saves a surgical procedure and results in better functional outcome. Materials and Methods: This is a prospective observational study conducted on fifty-two fingers and thumbs in 52 patients treated from 1st July 2014 till 31st December 2014, in the Orthopaedic Section, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. All the baseline characteristics of the patients, like demographics, symptoms, Quinell's criteria and functional outcome were recorded. The patients were treated at our hospital with trigger finger, managed with percutaneous release using an 18 gauge needle and followed up for a minimum period of three months. The follow-up information included range of motion scoring, patient satisfaction and overall outcome of the procedure in terms of patient acceptance. The data was analyzed to determine the functional outcome at three months. Results: There was complete release of A1 pulleys in 52 out of 52 digits (100%) in the patients undergoing percutaneous release and significant patient satisfaction. No recurrence was observed. Conclusion: Percutaneous release of trigger finger with needle was not only associated with excellent functional outcome and recovery in terms of patient satisfaction and range of finger motion three months post-procedure but also was found to be cost effective.
Authors and Affiliations
Marij Z, Aurangzeb Q, Rizwan HR, Haroon R, Pervaiz MH
Keywords
Related Articles
- EP ID EP310495
- DOI 10.5704/MOJ.1703.021
- Views 107
- Downloads 0
Perthes’ Disease: A Review Of Contributions From The Asia-Pacific Region
Despite extensive research on Perthes disease, its aetiology remains unknown and its treatment guidelines are still tentative. This highlights the need for more concerted, multicentre evidence-based research in order to...
Comparison Between Cefotiam And Cefotiam / Netilmycin Antibiotic Therapy for Grade III Open Tibial Fractures
We studied the effect of the addition of the bacteriostatic agent, netilmycin, to cefotiam treatment as prophylactic antibiotics against infection for grade III open tibial fractures. From 45 eligible cases, assigned ran...
Results of Closed Intramedullary Nailing using Talwarkar Square Nail in Adult Forearm Fractures
The aim of the study was to evaluate results of closed intramedullary nailing using Talwarkar square nails in adult forearm fractures. We prospectively evaluated 34 patients with both bone forearm fractures. The average...
Osteochondritis Dissecans of the Lateral Femoral Trochlea Healing after Isolated Medial Patellofemoral Ligament Reconstruction: A Case Report
We report on a 12 years old female patient who had been diagnosed with patellofemoral instability – recurrent dislocation and anterior knee pain. Radiologic evaluation further revealed osteochondritis dissecans (OCD) of...
Integration and Vascular Ingrowth of a Collagen Meniscal Implant: A Case Report
Meniscectomy is the most common surgery in orthopaedics. The absence of meniscal tissue might be related to irreversible damage to the articular cartilage. Meniscal replacement is a tissue-engineering technique for postm...