Percutaneous Release of Trigger Finger

Abstract

Background: Trigger finger (sometimes referred to as stenosing tenosynovitis) is a mechanical impingement of the hand's flexor tendon. This ailment is a frequent source of hand pain, discomfort, and impairment, since it may reduce the afflicted finger's range of motion. This research seeks to investigate the outcomes of surgical release of trigger finger by percutaneous method. Methods: This prospective study that included 21 adult patients aged > 16 years and diagnosed by clinical assessment by percutaneous release of A1 pulley of the diseased finger with history of triggering for at least 3 months and failure of previous conservative treatments. Each case was followed up for 6 weeks after enrolment. Results: Excellent outcomes were significantly increased in cases with one finger affection than cases with multi finger affection (P =0.025). There was no significant variance in the outcomes among patients with right and left sided hands. Patients with excellent outcome had shorter duration of symptoms than patients with good and poor outcomes (P =0.032). Conclusions: Excellent outcomes were significantly increased in cases with office work than cases with manual work and in patients with one finger affection than patients with multi finger affection.