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扳机指的经皮松解术。

Percutaneous release of trigger digits.

作者信息

Ha K I, Park M J, Ha C W

机构信息

Department of Orthopaedic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

J Bone Joint Surg Br. 2001 Jan;83(1):75-7. doi: 10.1302/0301-620x.83b1.11247.

DOI:10.1302/0301-620x.83b1.11247
PMID:11245542
Abstract

We describe a safe and easy percutaneous technique for release of trigger finger using a specially designed knife. The A1 pulley is sectioned by a blade which has a hooked end. We released, percutaneously, 185 trigger fingers, including 62 which were locked using this technique. Satisfactory results were achieved in 173 (93.5%). There were no significant complications. We recommend this as a safe and effective outpatient procedure for those patients who have not responded successfully to conservative treatment, have longstanding symptoms or severe triggering.

摘要

我们描述了一种使用特殊设计的刀具经皮松解扳机指的安全简便技术。A1滑车由带有钩状末端的刀片切断。我们经皮松解了185例扳机指,其中62例为使用该技术锁定的扳机指。173例(93.5%)取得了满意的效果。无明显并发症。对于那些对保守治疗未成功响应、有长期症状或严重扳机现象的患者,我们推荐这作为一种安全有效的门诊手术。

相似文献

1
Percutaneous release of trigger digits.扳机指的经皮松解术。
J Bone Joint Surg Br. 2001 Jan;83(1):75-7. doi: 10.1302/0301-620x.83b1.11247.
2
A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications.15° 尖刀经皮扳机指松解术的尸体评估:其有效性和并发症。
J Orthop Surg Res. 2021 Jul 3;16(1):426. doi: 10.1186/s13018-021-02566-4.
3
Percutaneous release for trigger thumb in children under general and local anesthesia.全身麻醉和局部麻醉下儿童扳机指的经皮松解术
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The results of percutaneous release of trigger digits by using full handle knife 15 degrees: an anatomical hand surface landmark and clinical study.使用15度全柄刀经皮松解扳机指的结果:手部表面解剖标志及临床研究
J Med Assoc Thai. 2007 Jul;90(7):1348-55.
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Retrospective study of open versus percutaneous surgery for trigger thumb in children.儿童扳机指开放手术与经皮手术的回顾性研究
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6
Sonographically assisted percutaneous release of the a1 pulley: a new surgical technique for treating trigger digit.超声引导下经皮松解A1滑车:一种治疗扳机指的新手术技术。
J Hand Surg Br. 2006 Apr;31(2):191-9. doi: 10.1016/j.jhsb.2005.11.003. Epub 2005 Dec 20.
7
Percutaneous trigger finger release: a comparison of a new push knife and a 19-gauge needle in a cadaveric model.经皮扳机指松解术:在尸体模型中新型推刀与19号针头的比较
J Hand Surg Am. 1999 Jul;24(4):860-5. doi: 10.1053/jhsu.1999.0860.
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Zhonghua Yi Xue Za Zhi (Taipei). 1999 Jan;62(1):33-9.
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10
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引用本文的文献

1
Comparative results of percutaneous and open surgery for trigger fingers: a propensity score analysis.扳机指经皮手术与开放手术的比较结果:一项倾向评分分析。
Front Surg. 2025 Mar 6;12:1509292. doi: 10.3389/fsurg.2025.1509292. eCollection 2025.
2
Serious Complications of the Percutaneous A1 Pulley Release: Case Reports and Literature Review.经皮A1滑车松解术的严重并发症:病例报告与文献综述
Arch Plast Surg. 2024 Feb 7;51(1):110-117. doi: 10.1055/a-2179-3911. eCollection 2024 Jan.
3
Use of a Percutaneous Needle Release Technique for Trigger Thumb: A Retrospective Study of 11 Patients from a Single Center.
经皮针刀松解术治疗扳机指:单中心 11 例回顾性研究。
Med Sci Monit. 2021 Oct 7;27:e931389. doi: 10.12659/MSM.931389.
4
Projection of the A1-Pulley of the Thumb onto Superficial Anatomical Landmarks: An Anatomical Study and a Useful Guide to Surgeons.拇指A1滑车在体表解剖标志上的投影:一项解剖学研究及对外科医生的实用指南
Indian J Orthop. 2021 Mar 30;55(Suppl 2):330-335. doi: 10.1007/s43465-021-00397-3. eCollection 2021 Jul.
5
A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications.15° 尖刀经皮扳机指松解术的尸体评估:其有效性和并发症。
J Orthop Surg Res. 2021 Jul 3;16(1):426. doi: 10.1186/s13018-021-02566-4.
6
Outcome of percutaneous trigger finger release technique using a 20-gauge hypodermic needle.使用20号皮下注射针行经皮扳机指松解技术的结果
J Clin Orthop Trauma. 2020 Oct 25;15:55-59. doi: 10.1016/j.jcot.2020.10.043. eCollection 2021 Apr.
7
Differential Pulley Release in Trigger Finger: A Prospective, Randomized Clinical Trial.扳机指中差动滑轮释放术:一项前瞻性、随机临床试验。
Hand (N Y). 2023 Mar;18(2):244-249. doi: 10.1177/1558944721994231. Epub 2021 Mar 1.
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Treatment of paediatric trigger finger: a systematic review and treatment algorithm.小儿扳机指的治疗:系统评价与治疗方案
J Child Orthop. 2018 Jun 1;12(3):209-217. doi: 10.1302/1863-2548.12.180058.
9
Percutaneous Release of Trigger Fingers: Comparing Multiple Digits with Single Digit Involvement.扳机指的经皮松解:多手指与单手指受累的比较
Arch Bone Jt Surg. 2016 Jun;4(3):224-7.
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Percutaneous surgery: a safe procedure for trigger finger?经皮手术:扳机指的安全治疗方法?
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