Percutaneous release of trigger digit with and without cortisone injection.

Abstract

Percutaneous release was done using the tip of an 18-gauge, 2.5-cm-long needle, mounted on a 3-mL3 syringe in 225 trigger digits. It was successful in 92 (89%) of the digits without cortisone injection (n = 105) and in 115 (96%) of the digits with cortisone injection (n = 120). Negligible or intermittent pain persisted for 8 weeks in the noncortisone group and 6 weeks in the cortisone group after percutaneous release. Of the first 10 digits, 2 needed repeat percutaneous release. With modification of technique, the incidence of repeat percutaneous release was zero in both groups. Open release was needed in 8% in the noncortisone group and 3% in the cortisone group. The procedure was done under local infiltration anesthesia in the office. This reduced patient anxiety, inconvenience and hospital cost.

• Authors: M R Patel, V J Moradia
• Journal: The Journal of hand surgery (J Hand Surg Am) Vol. 22 Issue 1 Pg. 150-5 (Jan 1997) ISSN: 0363-5023 [Print] United States
• PMID: 9018629 (Publication Type: Journal Article)

Chemical References

• Anti-Inflammatory Agents
• Glucocorticoids
• Betamethasone

Topics

• Adult
• Aged
• Aged, 80 and over
• Ambulatory Surgical Procedures (economics, psychology)
• Anesthesia, Local
• Anti-Inflammatory Agents (administration & dosage, therapeutic use)
• Anxiety (prevention & control)
• Betamethasone (administration & dosage, therapeutic use)
• Cost Control
• Female
• Fingers (surgery)
• Glucocorticoids (administration & dosage, therapeutic use)
• Hospital Costs
• Humans
• Incidence
• Injections, Subcutaneous
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures (economics, psychology)
• Needles
• Pain Management
• Reoperation
• Syringes
• Tenosynovitis (surgery)