FUNCTIONAL OUTCOME FOLLOWING PERCUTANEOUS RELEASE OF TRIGGER FINGER IN A TERTIARY CARE CENTRE

Abstract

Background: Trigger nger is a common clinical disorder caused by irritation of the exor tendon as it slides through the bro-osseous sheath and characterized by pain and catching as the patient exes and extends digits because of disproportion between the diameter of exor tendons and the A1 pulley. Its surgical options include open and percutaneous minimally invasive methods. A prospective study was conducted in Methods: Gauhati Medical college and Hospital over the course of 4 months in which 23 patients aged 23-66 years presenting with trigger nger were treated with percutaneous release. Percutaneous trigger nger release of A1 pulley was done with the help of 18G hypodermic needle under local anaesthetic cover as a day care procedure. Subsequently the patient was followed up at 1 week,3 weeks and 2 months. Outcome was assessed by level of satisfaction, complications, days to resume work and complications Results:All patients were completely resolved of their symptoms with no serious complications. 3 patients had temporary wound related complications which was resolved in 3 days .2 patients had temporary stiffness which resolved completely within a month. Percutaneous release of trigger nger Conclusion: is effective, convenient, cost effective day care surgery without any signicant complications and presents a suitable alternative to intralesional steroids