Use of a Percutaneous Needle Release Technique for Trigger Thumb: A Retrospective Study of 11 Patients from a Single Center

• Published in: Medical science monitor 2021-10, Vol.27, p.e931389-e931389
• Main Authors: Sun, Xianjie, Wang, Haidong, Zhang, Xingen, He, Bangjian
• Format: Article
• Language: English
• Subjects: Adult; Aged; Clinical Research; Follow-Up Studies; Humans; Middle Aged; Minimally Invasive Surgical Procedures - instrumentation; Minimally Invasive Surgical Procedures - methods; Needles; Orthopedic Procedures - instrumentation; Orthopedic Procedures - methods; Pain - etiology; Pain - surgery; Pain Measurement - methods; Patient Satisfaction - statistics & numerical data; Recovery of Function; Retrospective Studies; Treatment Outcome; Trigger Finger Disorder - complications; Trigger Finger Disorder - surgery
• ISSN: 1643-3750; 1234-1010; 1643-3750
• DOI: 10.12659/MSM.931389

BACKGROUND Trigger finger is a very common disorder that occurs in both adults and children. Trigger finger presents mainly as pain and limited movement of the affected digit. This report describes a modified percutaneous needle release and an evaluation of its clinical efficacy to treat trigger thumb. MATERIAL AND METHODS Trigger thumb of 11 patients was released percutaneously using a specially designed needle (0.8×100 mm) with a planus tip. Complete release was ensured when no more grating sound was heard and the needle moved freely at the tip. Pain-related functional score was evaluated preoperatively and at 3 months postoperatively. Resolution of Notta's node, triggered or locked, Quinnell's criteria, and patient satisfaction were also assessed at 3 months after the operation. RESULTS After the percutaneous trigger thumb release, the overall visual analog scale (VAS) and pain-related functional scores declined significantly (P