Sahu Rl, Gupta P
Department of Orthopedics, School of Medical Science and Research, Sharda University, Uttar Pradesh, India.
Department of Obstetric and Gynecology, Post Graduate Institute of Medical Sciences and Research ESIC, Basai Darapur, New Delhi, India.
Ann Med Health Sci Res. 2014 Sep;4(5):806-9. doi: 10.4103/2141-9248.141558.
Trigger finger is a common disorder of upper extremity. Majority of the patients can be treated conservatively but some resistant cases eventually need surgery.
The aim of this study is to evaluate the results of percutaneous trigger finger release under local anesthesia.
This is a prospective study carried out from July 2005 to July 2010, 46 fingers in 46 patients (30 females and 16 males) were recruited from outpatient department having trigger finger for more than 6 months. All patients were operated under local anesthesia. All patients were followed for 6 months. The clinical results were evaluated in terms of pain, activity level and patient satisfaction.
Statistical analysis was limited to calculation of percentage of patients who had excellent, good and poor outcomes.
The results were excellent in 82.6% (38/46) patients, good in 13.0% (6/46) patients and poor in two 4.3% (2/46) patients respectively. Complete Pain relief was achieved in 82.6% (38/46) patients, partial pain relief in 13.0% (6/46) patients and no pain relief in 4.3% (2/46) patients just after surgery. There was no recurrence of triggering. Range of motion was preserved in all cases. There were no digital nerve or tendon injuries. On subjective evaluations, 82.6% (38/46) patients reported full satisfaction, 13.0% (6/46) patients partial satisfaction and 4.3% (2/46) patients dissatisfaction with the results of treatment respectively.
Percutaneous trigger finger release under local anesthesia is a minimal invasive procedure that can be performed in an outpatient setting. This procedure is easy, quicker, less complications and economical with good results.
扳机指是上肢的一种常见病症。大多数患者可采用保守治疗，但一些难治性病例最终需要手术治疗。
本研究旨在评估局部麻醉下经皮扳机指松解术的效果。
这是一项前瞻性研究，于2005年7月至2010年7月进行，从门诊招募了46例患者（30例女性和16例男性）的46根手指，这些患者患有扳机指超过6个月。所有患者均在局部麻醉下接受手术。所有患者均随访6个月。根据疼痛、活动水平和患者满意度对临床结果进行评估。
统计分析仅限于计算结果为优、良和差的患者百分比。
结果为优的患者占82.6%（38/46），良的患者占13.0%（6/46），差的患者占4.3%（2/46）。术后即刻，82.6%（38/46）的患者疼痛完全缓解，13.0%（6/46）的患者部分疼痛缓解，4.3%（2/46）的患者无疼痛缓解。未出现扳机现象复发。所有病例均保留了活动范围。未发生指神经或肌腱损伤。在主观评估中，分别有82.6%（38/46）的患者对治疗结果表示完全满意，13.0%（6/46）的患者部分满意，4.3%（2/46）的患者不满意。
局部麻醉下经皮扳机指松解术是一种微创手术，可在门诊进行。该手术操作简单、速度快、并发症少且经济，效果良好。
