Percutaneous Surgical Treatment of Trigger Finger

TL;DR

This study shows that a minimally invasive procedure for trigger finger is highly effective and has advantages over traditional surgery.

Contribution

Demonstrates the high success rate and practical benefits of percutaneous release for trigger finger treatment.

Findings

98.3% of patients had successful outcomes with percutaneous release.

No joint motion limitations were observed in any patients.

Only two patients required open surgery due to re-entanglement.

Abstract

Objective
 To evaluate the efficacy of percutaneous release therapy for patients with trigger finger.

Methods
 We obtained the hospital records of 120 patients who underwent percutaneous release, and their final status was evaluated by telephone.

Results
 The sample was composed of 84 (70%) female and 36 (30%) male patients, with a mean age of 55.4 (range: 30–79) years, and a mean follow-up of 28.6 (range: 6–74) months. Successful results were obtained in 118 (98.3%) patients. In the first week after the procedure, release was performed through the open surgical method in two patients who had complaints of re-entanglement in their fingers. No limitation to the joint range of motion was detected in any finger.

Conclusions
 Percutaneous release has advantages over the open surgery method in the surgical treatment of trigger finger, due to its low cost, ease of application, performance outside operating room conditions, and similar complication rates.

Objetivo
 Avaliar a eficácia da terapia de liberação percutânea em pacientes com dedo em gatilho.

Métodos
 Obtivemos os prontuários hospitalares de 120 pacientes submetidos à liberação percutânea, e seu estado final foi avaliado por telefone.

Resultados
 A amostra foi composta de 84 (70%) pacientes do sexo feminino e 36 (30%) do sexo masculino, com média de idade de 55,4 (variação: 30–79) anos e tempo médio de acompanhamento de 28,6 (variação: 6–74) meses. Bons resultados foram obtidos em 118 (98,3%) pacientes. Na primeira semana após o procedimento, a liberação foi realizada por método cirúrgico aberto em dois pacientes que apresentavam queixa de recidiva do quadro. Nenhuma limitação da amplitude de movimento articular foi detectada em nenhum dedo.

Conclusão
 A liberação percutânea apresenta vantagens em relação ao método cirúrgico aberto no tratamento cirúrgico do dedo em gatilho, como baixo custo, facilidade de execução, realização fora de centro cirúrgico, e taxas de complicações semelhantes.

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