Turowski G A, Zdankiewicz P D, Thomson J G
Department of Surgery, St. Mary's Hospital, Waterbury, CT, USA.
J Hand Surg Am. 1997 Jan;22(1):145-9. doi: 10.1016/S0363-5023(05)80195-9.
A three-part retrospective study was undertaken to review the long-term results of surgical treatment of trigger finger. Seventy-five patients were identified by chart review. Fifty-nine of these were assessed by a telephone survey, with a mean follow-up period of 48 months (range, 6-70 months). Forty-six patients (78%) underwent follow-up physical examination. Surgical treatment was successful in all patients. Ninety-seven percent of patients had complete resolution of triggering, and the rest had significant improvement of symptoms. The recurrence rate was 3%, with only a single patient requiring reoperation. Complications were infrequent and resulted in minimal morbidity. No nerve injuries, tendon bowstringing, or ulnar deviation of the digits were observed. There were no wound infections. Although steroid injections should remain the initial remedy for most trigger fingers, surgical intervention is highly successful for conservative treatment failures and should be considered for patients desiring quick and definitive relief from this disability.
开展了一项三部分的回顾性研究，以评估扳机指手术治疗的长期效果。通过病历审查确定了75例患者。其中59例通过电话调查进行评估，平均随访期为48个月（范围为6 - 70个月）。46例患者（78%）接受了随访体格检查。所有患者的手术治疗均成功。97%的患者扳机症状完全缓解，其余患者症状有显著改善。复发率为3%，仅1例患者需要再次手术。并发症罕见，发病率极低。未观察到神经损伤、肌腱弓弦状畸形或手指尺侧偏斜。无伤口感染。尽管类固醇注射仍应是大多数扳机指的初始治疗方法，但手术干预对于保守治疗失败的情况非常成功，对于希望迅速彻底缓解这种功能障碍的患者应予以考虑。
