Follow-up investigation of open trigger digit release

Cakmak, Fedaye; Wolf, M.; Brückner, Thomas; Hahn, Peter; Unglaub, Frank

doi:10.1007/s00402-011-1440-0

Cited by 45 publications

(33 citation statements)

References 39 publications

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“…Maximillian C. Soong declares that he has no conflict of interest. [9] 1997 59 6 (10) 1 (1.7) Revision release (1) Vaes [10] 1998 55 10 (18) 0 (0) Finsen [3] 2003 84 16 (19) 2 (2.4) Revision release (1), tenolysis (1) Lim [5] 2007 483 7 (1) 0 (0) Lange-Reiss [4] 2009 305 9 (3) 0 (0) Will [11] 2010 78 24 (31) 2 (2.6) Fistula excision (1) Cakmak [2] 2012 101 6 (6) 3 (3.0) Revision release (1), I&D (2) Bruijnzeel [1] 2012 1598 84 (5) Statement of Human and Animal Rights Approval was obtained from the institutional review board regarding procedures to ensure protection of human rights and informed consent.…”

Section: Discussionmentioning

confidence: 99%

“…Open release is generally considered a simple low-risk procedure, although may result in complications such as persistence, recurrence, prolonged pain, infection, stiffness, flexion contracture, bowstringing, and digital nerve injury [7]. Incidence of such complications varies widely from 1 to 43 % [1][2][3][4][5][8][9][10][11]. Most studies involve small numbers, which limit the ability to generalize findings and to identify risk factors.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Complications of Open Trigger Finger Release

Everding

Bishop

Belyea

et al. 2014

Hand (New York, N,Y.)

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Background Open trigger finger release is generally considered a simple low-risk procedure. Reported complication rates vary widely from 1 to 43 %, mostly based on small studies. Our goal was to determine the incidence of complications in a large consecutive series, while also identifying potential risk factors. Methods All open trigger finger releases performed from 2006 to 2009 by four fellowship-trained hand surgeons at a single institution were retrospectively reviewed. There were 795 digits released in 543 patients. Complications were defined as signs or symptoms requiring further treatment and/or considered unresolved by 1 month postoperatively. Complications requiring operative intervention were regarded as major. Multivariable analysis was performed to determine possible risk factors for complications. Results There were 95 documented complications among 795 digits (12 %). The most common complications involved persistent pain, stiffness, or swelling, persistent or recurrent triggering, or superficial infection. Most were treated nonoperatively with observation, therapy, steroid injection, or oral antibiotics. There were 19 reoperations (2.4 %), mostly including revision release, tenosynovectomy, and irrigation and debridement. Male gender, sedation, and general anesthesia were independently associated with complications, while age, diabetes, hypothyroidism, recent injection, and concurrent procedures were not associated.Conclusions Open trigger finger release is generally a lowrisk procedure, although there is potential for complications, some requiring reoperation. Male gender, sedation, and general anesthesia may be associated with greater risk. Surgeons should be careful to thoroughly discuss the risk of both major and minor complications when counseling patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Complications of Open Trigger Finger Release

Everding

Bishop

Belyea

et al. 2014

Hand (New York, N,Y.)

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“…Flexor tendon triggering is due to stenosing tenosynovitis of the flexor tendons, which is actually caused by a mismatch between the volume of the flexor tendon sheath and its contents [1,2]. The diagnosis and treatment of flexor tendon triggering is quite familiar to most orthopedic surgeons however, extensor triggering is an uncommon condition that may be missed unless looked for carefully [10].…”

Section: Discussionmentioning

confidence: 99%

“…Trigger finger commonly refers to flexor tendon triggering which is clinically diagnosed by a sudden extension of the affected finger at the proximal interphalangeal joint (PIPJ) [1,2]. It happens when a flexor tendon passes through the first annular (A1) pulley with palpable triggering over the palmar side of the metacarpophlangeal joint (MCPJ) due to pathologic changes within the A1 pulley or the flexor tendons [1,2].…”

Section: Introductionmentioning

confidence: 99%

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Extensor Triggering of Hand: A Rare Presentation and its Management

S¹,

Gafoor²,

Mahesh³

et al. 2016

JCR

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Abstract:Trigger finger commonly refers to flexor tendon triggering which occurs due to pathologic changes in first annular pulley or the flexor tendons. Extensor triggering is a rare condition caused by disruption or laxity of the sagittal bands that stabilize the extensor digitorum communis tendon over the metacarpal head.Here we are reporting a rare case of a 14 year old girl who presented with four year history of acquired idiopathic extensor triggering of multiple fingers of both hands. Physiotherapy and other modalities of conservative management failed to prevent triggering, hence surgical correction by the Carroll tendon slip procedure was performed to centralize the extensor tendon. She underwent post-operative rehabilitation and three year follow up showed excellent response to the treatment.

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Trigger finger—pitfalls and differential diagnosis

Kußmaul¹,

Ayache²,

Unglaub

2023

Orthopädie

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ZusammenfassungDie Differenzialdiagnostik des schnellenden Fingers stellt eine klinische Herausforderung dar. Im vorgestellten Fall wird ein 32-jähriger Patient präsentiert, welcher sich mit einem persistierenden Schnappen des rechten Zeigefingers im Metakarpophalangealgelenk ohne lokale Druckschmerzhaftigkeit trotz vorheriger operativer A1-Ringbandspaltung vorstellte. In der CT-Diagnostik konnte ein prominentes Tuberculum articularis nachgewiesen werden. Die MRT-Bildgebung war unauffällig. Durch operative Revision mit begleitender Abtragung des Tuberkulums ließ sich eine volle Funktion des Zeigefingers wieder herstellen.

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Follow-up investigation of open trigger digit release

Cited by 45 publications

References 39 publications

Risk Factors for Complications of Open Trigger Finger Release

Risk Factors for Complications of Open Trigger Finger Release

Extensor Triggering of Hand: A Rare Presentation and its Management

Trigger finger—pitfalls and differential diagnosis

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