Trigger Finger: A Prospective Randomised Control Trial Comparing Percutaneous Release versus Open Release

Ranjeet, Niraj; Sapkota, Krishna; Thapa, Pabin; Onta, Pratyenta Raj; Wahegaonkar, Krishna; Thapa, Upendra Jung; Shah, Himanshu

doi:10.7860/jcdr/2018/34100.11771

Cited by 3 publications

(4 citation statements)

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“…3 digits couldn't be released and on Ranjeet et al in their study concluded that both subjective and objective criteria in comparing percutaneous release and open release for trigger finger indicate no statistically significant difference, however the postoperative pain, recovery to work and mean time to hand function was better in the percutaneous group. 23…”

Section: Pope Et Al Had Excellent Results After Open Releasementioning

confidence: 99%

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

Kumar¹,

Muzzafar²,

Tasaduq

et al. 2019

Int J Res Orthop

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Background: 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.Methods: 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.Results: 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.Conclusions: Percutaneous release by 18 guage needle is safe and effective treatment for trigger finger without much complication.

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Section: Pope Et Al Had Excellent Results After Open Releasementioning

confidence: 99%

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

Kumar¹,

Muzzafar²,

Tasaduq

et al. 2019

Int J Res Orthop

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“…15 Furthermore, this technique does not require preoperative testing or perioperative monitoring, has shorter postoperative anesthesia recovery times, and eliminates the need for a tourniquet, which has been associated with mechanical pain and nerve damage. [24][25][26][27][28] Numerous studies have published on the outcomes as they pertain to patients undergoing open CTR via varying 30 found that tourniquet use was associated with more pain and discomfort. Consistent with other published studies, no significant difference was observed regarding the ease of the surgeon to perform the procedure, as evidenced by the similar procedure durations and occurrences of technical difficulties.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

WALANT Technique versus Sedation for Endoscopic Carpal Tunnel Release

Wellington

Cusano

Ferreira

et al. 2021

Hand (New York, N,Y.)

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Background This study sought to investigate complication rates/perioperative metrics after endoscopic carpal tunnel release (eCTR) via wide-awake, local anesthesia, no tourniquet (WALANT) versus sedation or local anesthesia with a tourniquet. Methods Patients aged 18 years or older who underwent an eCTR between April 28, 2018, and December 31, 2019, by 1 of 2 fellowship-trained surgeons at our single institution were retrospectively reviewed. Patients were divided into 3 groups: monitored anesthesia care with tourniquet (MT), local anesthesia with tourniquet (LT), and WALANT. Results Inclusion criteria were met by 156 cases; 53 (34%) were performed under MT, 25 (16%) under LT, and 78 (50%) under WALANT. The MT group (46.1 ± 9.7) was statistically younger compared with LT (56.3 ± 14.1, P = .007) and WALANT groups (53.5 ± 15.8, P = .008), F(2, 153) = 6.465, P = .002. Wide-awake, local anesthesia, no tourniquet had decreased procedural times (10 minutes, SD: 2) compared with MT (11 minutes, SD: 2) and LT (11 minutes, SD: 2), F(2, 153) = 5.732, P = .004). Trends favored WALANT over MT and LT for average operating room time (20 minutes, SD: 3 vs 32 minutes, SD: 6 vs 23 minutes, SD: 3, respectively, F(2, 153) = 101.1, P < .001), postanesthesia care unit time (12 minutes, SD: 7 vs 1:12 minutes, SD: 26 vs 20 minutes, SD: 22, respectively, F(2, 153) =171.1, P < .001), and door-to-door time (1:37 minutes, SD: 21 vs 2:51 minutes, SD: 40 vs 1:46 minutes, SD: 33, respectively, F(2, 153) = 109.3, P < .001). There were no differences in complication rates. Conclusions Our data suggest favorable trends for patients undergoing eCTR via WALANT versus MT versus LT.

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“…Asking the patient to actively move the inger and check for persistent triggering assessed completeness. (Ranjeet et al, 2018;Hawthorne et al, 2014) Post operatively adhesive dressing was used for two days, followed by active movements of a inger along with exercises using a hot water bath.…”

Section: Methodsmentioning

confidence: 99%

Patient satisfaction on Trigger finger management

Ramanathan

Ram

2019

ijrps

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Trigger finger relatively a common hand problem with varied treatment options from conservative to surgical release done as outpatient and daycare procedure with its own applications and limitations. Our aim is to assess patient satisfaction among the different types of trigger finger release at different areas of health care. 60 patients (Female 60%: Male 40%) with single-digit trigger finger involvement (Ring finger28.33%, Thumb26.66%, Middle finger25%, Index finger18.33%) with a mean age of 49years were divided into four groups based on card selection. The mean Short Assessment of Patient Satisfaction SAPS score was highest amongst the group in which the procedure was done at the outpatient area under percutaneous needle release technique, while the mean lowest score was obtained from group IV in which the procedure was done at the operation theatre by open release technique as daycare. Patient satisfaction and compliance were found to be higher in the group who underwent a procedure at an outpatient area.

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Trigger Finger: A Prospective Randomised Control Trial Comparing Percutaneous Release versus Open Release

Cited by 3 publications

References 0 publications

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

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

WALANT Technique versus Sedation for Endoscopic Carpal Tunnel Release

Patient satisfaction on Trigger finger management

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