North American Journal of Medical Sciences

COMMENTARY
Year
: 2012  |  Volume : 4  |  Issue : 9  |  Page : 404-

Trigger finger


Edson S Sato 
 Department of Orthopedics and Traumatology, Discipline of Hand and Upper Limb Surgery, UNIFESP - Federal University of São Paulo, São Paulo City, São Paulo, Brazil

Correspondence Address:
Edson S Sato
Department of Orthopedics and Traumatology, Discipline of Hand and Upper Limb Surgery, UNIFESP - Federal University of São Paulo, São Paulo City, São Paulo
Brazil




How to cite this article:
Sato ES. Trigger finger.North Am J Med Sci 2012;4:404-404


How to cite this URL:
Sato ES. Trigger finger. North Am J Med Sci [serial online] 2012 [cited 2020 Feb 17 ];4:404-404
Available from: http://www.najms.org/text.asp?2012/4/9/404/100990


Full Text

I believe that percutaneous trigger finger release is a safe method. Many studies proved it.

We performed a randomized study in 150 trigger fingers. The study evaluated the effectiveness of CS injection, percutaneous pulley release and conventional open surgery for treating trigger finger in terms of cure, relapse and complication rates. [1],[2]

We did not observe any lesion of the digital nerve among the three treatment groups, which would be a distressing factor, principally for the percutaneous method group. We believe that the demarcation of the longitudinal axis of the tendon in the percutaneous technique and precise anatomical knowledge of the pulleys are important factors for preventing complications, which is similar to the conclusion reached in anatomical studies. [3],[4],[5]

The percutaneous and open surgery methods displayed similar effectiveness and proved superior to the conservative CS method regarding the trigger cure and relapse rates.

References

1Sato ES, Albertoni WM, Leite VM. Trigger finger: A prospective analysis of 76 fingers treated surgically by percutaneous release. Rev Bras Ortop 2004;396:309-22.
2Sato ES, Gomes Dos Santos JB, Belloti JC, Albertoni WM, Faloppa F. Treatment of trigger finger: Randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery. Rheumatology (Oxford) 2012;51:93-9.
3Eastwood DM, Gupta KJ, Johnson DP. Percutaneous release of the trigger finger: An office procedure. J Hand Surg Am 1992;17:114-7.
4Wilhelmi BJ, Mowlavi A, Neumeister MW, Bueno R, Lee WP. Safe treatment of trigger finger with longitudinal and transverse landmarks: An anatomic study of the border fingers for percutaneous release. Plast Reconstr Surg 2003;112:993-9.
5Fiorini HJ, Santos JB, Hirakawa CK, Sato ES, Faloppa F, Albertoni WM. Anatomical study of the A1 pulley: Length and location by means of cutaneous landmarks on the palmar surface. J Hand Surg Am 2011;36:464-8.