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Category: Volume 07 Issue 11 November 2019
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Title: Clinical and functional outcomes of trigger digits managed by percutaneous release in adult population: A prospective study

Authors: Irshad Ahmad Ganie, Sayar Ahmad Mantoo, Mudasir Nazir Bhat, Ajaz Ahmad Bhat

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.128

Abstract

Purpose of the study: Trigger finger is a common cause of hand pain and dysfunction resulting from a narrowed tunnel for tendon excursion. In this study, we aimed to evaluate clinical and functional outcomes of percutaneous release in the management of trigger digits.

Patients and Methods: This prospective study was conducted on 60 patients in the Orthopaedics Department GMC, Srinagar. The patients were treated by percutaneous release using an 18 gauge needle and followed up for a minimum period of 6 months. Patients were observed for recurrence, range of motion, tendon rupture, digital nerve injury and patient satisfaction.

Results: Mean age  in our study was  43.6 years, females predominated our study, thumb was found more commonly involved than other digits .There was complete release of A1 pulleys in 58 out of 60 patients (96. 6%), recurrence observed in 4 patients .Patients were evaluated  using  Roles and Maudsley score and VAS  score.

Conclusion: Percutaneous release is safe and cost effective alternative method for management of trigger digits with excellent functional outcome and rapid recovery with minimal complications.

Keywords: Percutaneous release, Trigger digits.

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Corresponding Author

Sayar Ahmad Mantoo

SR, SGRRIM & HS, Dehradun