Centre de la Main, 47 Rue de la Foucaudiere, 49800 Trelaze, France.
Centre de la Main, 47 Rue de la Foucaudiere, 49800 Trelaze, France.
Hand Surg Rehabil. 2024 Jun;43(3):101687. doi: 10.1016/j.hansur.2024.101687. Epub 2024 Mar 26.
Trigger finger is a common condition. Surgery most frequently involves opening the A0 and A1 pulleys. However, this shows limited effectiveness in correcting proximal interphalangeal joint fixed flexion deformity. The present study aimed to compare clinical outcomes between two surgical techniques for trigger finger treatment. This retrospective study included 127 patients, 72 of whom underwent resection of the ulnar slip of the flexor superficialis, and 55 underwent opening of the pulleys. Study data comprised patient characteristics, range of motion, proximal interphalangeal fixed flexion deformity measurement, Quick-DASH and PRWE scores, and overall satisfaction. There were no significant differences between the two groups in terms of Quick-DASH or PRWE scores. Fixed flexion deformity correction was slightly but not significantly better with resection of the ulnar slip of the flexor superficialis (100%) compared to opening of the pulleys (88%). LEVEL OF EVIDENCE: : Level IV.
扳机指是一种常见病症。手术通常涉及切开 A0 和 A1 滑车。然而，这在纠正近节指间关节固定屈曲畸形方面效果有限。本研究旨在比较两种治疗扳机指的手术技术的临床效果。这项回顾性研究纳入了 127 名患者，其中 72 例行屈指浅肌尺侧腱束切除术，55 例行切开滑车。研究数据包括患者特征、活动范围、近节指间关节固定屈曲畸形测量、Quick-DASH 和 PRWE 评分以及总体满意度。两组间 Quick-DASH 或 PRWE 评分无显著差异。与切开滑车相比，屈指浅肌尺侧腱束切除术（100%）在纠正固定屈曲畸形方面略有但无统计学意义上的优势（88%）。证据等级：IV 级。
