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International Orthopaedics
Published in: International Orthopaedics 3/2007

01-06-2007 | Original Paper

Percutaneous release of the trigger thumb: is it safe, cheap and effective?

Authors: Oguz Cebesoy, Gunhan Karakurum, Kamil Cagri Kose, Enver Taner Baltaci, Mustafa Isik

Published in: International Orthopaedics | Issue 3/2007

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Abstract

Percutaneous release of the trigger finger and trigger thumb has recently gained popularity. The aim of this study was to determine the clinical results and safety of percutaneous release in trigger thumbs. Twenty-five thumbs of 21 patients were relased percutaneously in the polyclinic under local anaesthesia. Steroid injection was performed following the release procedure using the same needle. The thumb function was evaluated by a patient questionnaire, and functional thumb scores (VAS) were calculated in the preoperative and postoperative periods. At the 1 week follow-up, four patients had signs of discomfort and triggering because of incomplete release. These patients underwent open A1 pulley release. Three superficial tendon lacerations were seen during these open procedures. There were no wound complications or signs of digital nerve or artery injury in any of the patients. The preoperative mean VAS was 26.62 (18–36). This decreased to 2.57 (0–5) at the first postoperative month (P<0.001) and to 2.19 (0–3; P<0.001) at the sixth month. When the VAS scores at the first and sixth months were compared, the difference was statistically significant. We concluded that percutaneous release of trigger thumbs is a cheap, safe and effective procedure with a low rate of complications.
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Metadata
Title
Percutaneous release of the trigger thumb: is it safe, cheap and effective?
Authors
Oguz Cebesoy
Gunhan Karakurum
Kamil Cagri Kose
Enver Taner Baltaci
Mustafa Isik
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2007
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0180-1

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