Ultrasound-guided micro-invasive trigger finger release technique combined with three tests to confirm a complete release
Trigger finger at the A1 pulley is a common cause of hand pain leading to functional limitations. This study evaluated the outcomes of patients treated with a micro-invasive ultrasound-guided trigger finger release technique using an 18 blade and described three tests that confirm a complete release...
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Published in | American journal of physical medicine & rehabilitation |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
22.06.2020
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Abstract | Trigger finger at the A1 pulley is a common cause of hand pain leading to functional limitations. This study evaluated the outcomes of patients treated with a micro-invasive ultrasound-guided trigger finger release technique using an 18 blade and described three tests that confirm a complete release.
A retrospective chart review and cross-sectional study of 46 cases of A1 pulley trigger finger releases in 28 patients performed at a private, sports medicine clinic using this technique was completed, meeting power criteria. Primary outcome measure was the resolution of mechanical catching/locking; secondary outcome measures were reduction in Visual Analog Scale for pain and improvement of function in the modified Nirschl Scale.
Complete release was achieved in all patients with no recurrence of catching/locking during the first year (p<0.0001). 98% of patients had significant pain and functional improvement (p<0.0001). There were no complications peri-operatively and post-operatively. The three confirmatory tests ensured that all cases obtained a successful outcome.
This technique combined with confirmatory tests resulted in full resolution of the locking for all patients and statistically significant reduction in pain and improvement in function. |
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AbstractList | Trigger finger at the A1 pulley is a common cause of hand pain leading to functional limitations. This study evaluated the outcomes of patients treated with a micro-invasive ultrasound-guided trigger finger release technique using an 18 blade and described three tests that confirm a complete release.
A retrospective chart review and cross-sectional study of 46 cases of A1 pulley trigger finger releases in 28 patients performed at a private, sports medicine clinic using this technique was completed, meeting power criteria. Primary outcome measure was the resolution of mechanical catching/locking; secondary outcome measures were reduction in Visual Analog Scale for pain and improvement of function in the modified Nirschl Scale.
Complete release was achieved in all patients with no recurrence of catching/locking during the first year (p<0.0001). 98% of patients had significant pain and functional improvement (p<0.0001). There were no complications peri-operatively and post-operatively. The three confirmatory tests ensured that all cases obtained a successful outcome.
This technique combined with confirmatory tests resulted in full resolution of the locking for all patients and statistically significant reduction in pain and improvement in function. |
Author | Colberg, Ricardo E Pantuosco, John Fleisig, Glenn Drogosz, Monika |
Author_xml | – sequence: 1 givenname: Ricardo E surname: Colberg fullname: Colberg, Ricardo E organization: Andrews Sports Medicine and Orthopedic Center, Birmingham, AL – sequence: 2 givenname: John surname: Pantuosco fullname: Pantuosco, John organization: Department of Physical Medicine and Rehabilitation, University of Alabama School of Medicine, 1717 6th Avenue South, Spain Rehabilitation Center, Room 157, Birmingham, Alabama 35233 – sequence: 3 givenname: Glenn surname: Fleisig fullname: Fleisig, Glenn organization: American Sports Medicine Institute, 833 St. Vincent's Drive, Suite 205, Birmingham, AL 35205 – sequence: 4 givenname: Monika surname: Drogosz fullname: Drogosz, Monika organization: American Sports Medicine Institute, 833 St. Vincent's Drive, Suite 205, Birmingham, AL 35205 |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32576748$$D View this record in MEDLINE/PubMed |
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