Percutaneous Trigger Thumb Release: Special Considerations

Joseph, Jain; Ditmars, Donald M.

doi:10.1097/gox.0000000000001758

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Such a shape may cause excessive damage to the A1 pulley, particularly since the process of releasing the A1 pulley is not visible. A previous study using a large percutaneous trigger thumb release in patients reported that insufficient release was obtained in severe cases, requiring multiple releases [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

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Use of a Percutaneous Needle Release Technique for Trigger Thumb: A Retrospective Study of 11 Patients from a Single Center

Sun¹,

Wang

Zhang³

et al. 2021

Med Sci Monit

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Background Trigger finger is a very common disorder that occurs in both adults and children. Trigger finger presents mainly as pain and limited movement of the affected digit. This report describes a modified percutaneous needle release and an evaluation of its clinical efficacy to treat trigger thumb. Material/Methods Trigger thumb of 11 patients was released percutaneously using a specially designed needle (0.8×100 mm) with a planus tip. Complete release was ensured when no more grating sound was heard and the needle moved freely at the tip. Pain-related functional score was evaluated preoperatively and at 3 months postoperatively. Resolution of Notta’s node, triggered or locked, Quinnell’s criteria, and patient satisfaction were also assessed at 3 months after the operation. Results After the percutaneous trigger thumb release, the overall visual analog scale (VAS) and pain-related functional scores declined significantly ( P <0.01). There was no recurrence of thumb locking or triggering or Notta’s node. Only the first patient had incomplete release of the first annular pulley, and all patients showed high satisfaction with the procedure at 3 months after their operation. During the study, patients did not experience any complications such as inflammation, edema, or digital nerve injury. Conclusions This study demonstrated that the percutaneous technique is effective, less time-consuming, and safe for treating trigger thumb. Our release technique using a specially designed percutaneous needle is a valuable treatment for trigger thumb.

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Section: Discussionmentioning

confidence: 99%

“…Although high success and satisfaction rates have been reported, complications such as infection, digital artery, or nerve injury sometimes occur [ 9 ]. A previous study used a large percutaneous trigger thumb release in patients, but insufficient A1 pulley release occurred in severe cases, which required multiple releases [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Use of a Percutaneous Needle Release Technique for Trigger Thumb: A Retrospective Study of 11 Patients from a Single Center

Sun¹,

Wang

Zhang³

et al. 2021

Med Sci Monit

View full text Add to dashboard Cite

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Prospective evaluation of a novel device for ultrasound-guided percutaneous treatment of carpal tunnel and trigger finger disease. Efficacy and safety of sono-instruments®

Moungondo,

Van Rompaey,

Moussa

et al. 2024

J Ultrasound

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Purpose To evaluate the safety and effectiveness of percutaneous release procedures under sonography using Sono-Instruments® in the treatment of carpal tunnel syndrome (CTS) and trigger finger (TF). Methods Prospective study involving 30 patients, divided into two groups (15 CTS, and 15 TF). The primary outcomes were surgical performance-related outcomes (visibility, ease of use, satisfaction, duration) using Sono-Instruments® and patient-related outcomes (pain, activity limitations, time to return to work, functional scores). Secondary outcomes included complications. Patients were followed for two months post-operatively. Results In the CTS group, the average age of the patients was 58.7 years. The percutaneous release of the transverse carpal ligament was effectively completed in all cases, with excellent device performance and no adverse events. At one week, all patients could wash their hands, 80% could perform activities of daily living, and 80% of those working had returned to their activities. At two months, all patients had resumed all activities. Pillar pain was still present in 53.3%. In the TF group, the patients had an average age of 57.9 years. The percutaneous release of the A1 annular pulley was successful in all cases, with excellent device performance and no adverse events. At one week, all patients could wash their hands, 93.3% could do all activities of daily living, and 75% of those working were back to their professional activities. At two months, all patients were back to all activities of daily living and work. The DASH score was significantly improved at two months, compared to preoperative, for both groups (p < 0.001). Conclusion Percutaneous sono-guided release using Sono-Instruments® is safe and efficient, and associated with quick functional recovery. Level of evidence II.

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Percutaneous Trigger Thumb Release: Special Considerations

Cited by 2 publications

References 14 publications

Use of a Percutaneous Needle Release Technique for Trigger Thumb: A Retrospective Study of 11 Patients from a Single Center

Use of a Percutaneous Needle Release Technique for Trigger Thumb: A Retrospective Study of 11 Patients from a Single Center

Prospective evaluation of a novel device for ultrasound-guided percutaneous treatment of carpal tunnel and trigger finger disease. Efficacy and safety of sono-instruments®

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