Clinical Study Between Percutaneous Ultrasound‑Guided Release and Open Classic Surgery in Treating Multiple Trigger Fingers

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Yavari Masoud; Modaresi Seyed Masoud; Hassanpour Seyed Esmail; Moosavizadeh Seyed Mehdi; Tabrizi Ali

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Journal: Advanced Biomedical Research Year:2023 | Volume:12 | Issue:april Page(s): 1-5

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Title

Clinical Study Between Percutaneous Ultrasound‑Guided Release and Open Classic Surgery in Treating Multiple Trigger Fingers

Author(s)

Keywords

Flexor tendon entrapment

snapping finger

trigger finger

ultrasonography

Abstract

Background: A trigger finger is recognized as the most common hand tendinopathies that reduce functional ability. The present study compares the clinical outcomes of open classic release surgery with ultrasound-guided percutaneous surgery in cases of multiple finger involvement. Materials and Methods: A cohort study has been performed from March 2019 to December 2020 by participating 34 trigger finger patients with multiple involvements. These patients were treated using classical open release and ultrasound-guided percutaneous release methods and both methods were compared in patients. The pain severity and functional ability obtained from the quick disabilities of the arm, shoulder, and hand (Quick-DASH) test scores were compared. Results: The pain intensity in the classical open surgery patients was not significantly different from the ultrasound-guided group, and a one-month follow-up showed that the pain intensity in the ultrasound-guided patients was significantly less than in the other group (P = 0. 02). Besides, no significant difference was observed between the functional abilities before and after the one-month follow-up. Indeed, the two groups had the same situations. Also, the recovery time in the ultrasound-guided percutaneous release group was significantly faster than in the other group. These cases had statistical differences as P = 0. 001 and P < 0. 001, respectively. The surgical release was 100% successful in both groups. The patients' satisfaction rates in the ultrasound-guided and open classic surgery treatment methods were 94. 1 and 76. 4%, respectively. Conclusions: Classical open release and ultrasound-guided percutaneous surgery could successfully treat multiple trigger fingers. However, ultrasound-guided percutaneous surgery provided faster recovery and less pain intensity than the other method.

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