Article

Stenosing tenosynovitis or trigger finger is one of the most common disorders
that affect the flexor tendon apparatus of the hand. Percutaneous release has
been previously reported to be easier, quicker, less invasive and less costly
than open surgery. The purpose of this study was to report the outcome of an
alternative percutaneous trigger finger release technique. From March 2008 to
January 2014, 92 patients (128 fingers) who underwent the alternative
percutaneous trigger finger release, with a minimum of 6 months follow-up were
included. Outcomes included size of skin incision, pain, residual symptoms,
satisfaction and complications. Percutaneous release was achieved in all fingers,
except 1 for which an opening of the skin was necessary to complete the release
of the pulley. Eight fingers (6%) required revision open surgery because of
persistence of their symptoms. At 1 week after the procedure, no finger swelling
was reported, however 4 fingers (3%) were painful and 45 (35%) were stiff and
required physiotherapy. Percutaneous release was successful in 120 fingers (94%).
At the final follow-up, all the patients were satisfied by the procedure (95
rated their result as much better and 32 as better). This study shows that our
alternative percutaneous trigger finger release is a reliable and safe procedure
with high patient satisfaction. LEVEL OF EVIDENCE: Level IV, clinical study,
therapeutic study.
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Langue : ANGLAIS