Cargando…

A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications

ABSTRACT: Percutaneous release of the A1 pulley has been introduced as a therapeutic approach for trigger fingers and is suggested as an effective and safe alternative, where conservative treatments fail. The aim of the current study was to determine if percutaneous release with a 15° stab knife can...

Descripción completa

Detalles Bibliográficos
Autores principales: Abdoli, Abbas, Asadian, Majid, Banadaky, Seyed Houssein Saeed, Sarram, Rabeah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254281/
https://www.ncbi.nlm.nih.gov/pubmed/34217345
http://dx.doi.org/10.1186/s13018-021-02566-4
_version_ 1783717697092059136
author Abdoli, Abbas
Asadian, Majid
Banadaky, Seyed Houssein Saeed
Sarram, Rabeah
author_facet Abdoli, Abbas
Asadian, Majid
Banadaky, Seyed Houssein Saeed
Sarram, Rabeah
author_sort Abdoli, Abbas
collection PubMed
description ABSTRACT: Percutaneous release of the A1 pulley has been introduced as a therapeutic approach for trigger fingers and is suggested as an effective and safe alternative, where conservative treatments fail. The aim of the current study was to determine if percutaneous release with a 15° stab knife can effectively result in acceptable efficacy and lower complication rate. METHODS: In the present study, the percutaneous release of the A1 pulley was evaluated by percutaneous release using a 15° stab knife in 20 fresh-frozen cadaver hands (10 cadavers). One hundred fingers were finally included in the present study. The success rate of A1 pulley release as well as the complications of this method including digital vascular injury, A2 pulley injury, and superficial flexor tendon injury was evaluated, and finally, the data were analyzed by the SPSS software. RESULTS: The results showed a success rate of 75% for A1 pulley release in four fingers, followed by eleven fingers (90%) and eighty-five fingers (100%). Therefore, the A1 pulley was found to be completely released in eighty-five fingers (100%). Overall, the mean of A1 pulley release for these fingers was determined as 97.9%, indicating that percutaneous trigger finger release can be an effective technique using a 15° stab knife. Furthermore, our findings revealed no significant difference in the amount of A1 pulley release in each of the fingers in the right and left hands. Additionally, 17 fingers developed superficial scrape in flexor tendons, while 83 fingers showed no flexor tendons injuries and no other injuries (i.e., vascular, digital nerve, and A2 pulley injuries). CONCLUSIONS: Percutaneous release of the A1 pulley using a 15° stab knife was contributed to acceptable efficacy and a relatively good safety in the cadaveric model.
format Online
Article
Text
id pubmed-8254281
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-82542812021-07-06 A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications Abdoli, Abbas Asadian, Majid Banadaky, Seyed Houssein Saeed Sarram, Rabeah J Orthop Surg Res Research Article ABSTRACT: Percutaneous release of the A1 pulley has been introduced as a therapeutic approach for trigger fingers and is suggested as an effective and safe alternative, where conservative treatments fail. The aim of the current study was to determine if percutaneous release with a 15° stab knife can effectively result in acceptable efficacy and lower complication rate. METHODS: In the present study, the percutaneous release of the A1 pulley was evaluated by percutaneous release using a 15° stab knife in 20 fresh-frozen cadaver hands (10 cadavers). One hundred fingers were finally included in the present study. The success rate of A1 pulley release as well as the complications of this method including digital vascular injury, A2 pulley injury, and superficial flexor tendon injury was evaluated, and finally, the data were analyzed by the SPSS software. RESULTS: The results showed a success rate of 75% for A1 pulley release in four fingers, followed by eleven fingers (90%) and eighty-five fingers (100%). Therefore, the A1 pulley was found to be completely released in eighty-five fingers (100%). Overall, the mean of A1 pulley release for these fingers was determined as 97.9%, indicating that percutaneous trigger finger release can be an effective technique using a 15° stab knife. Furthermore, our findings revealed no significant difference in the amount of A1 pulley release in each of the fingers in the right and left hands. Additionally, 17 fingers developed superficial scrape in flexor tendons, while 83 fingers showed no flexor tendons injuries and no other injuries (i.e., vascular, digital nerve, and A2 pulley injuries). CONCLUSIONS: Percutaneous release of the A1 pulley using a 15° stab knife was contributed to acceptable efficacy and a relatively good safety in the cadaveric model. BioMed Central 2021-07-03 /pmc/articles/PMC8254281/ /pubmed/34217345 http://dx.doi.org/10.1186/s13018-021-02566-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Abdoli, Abbas
Asadian, Majid
Banadaky, Seyed Houssein Saeed
Sarram, Rabeah
A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications
title A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications
title_full A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications
title_fullStr A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications
title_full_unstemmed A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications
title_short A cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications
title_sort cadaveric assessment of percutaneous trigger finger release with 15° stab knife: its effectiveness and complications
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254281/
https://www.ncbi.nlm.nih.gov/pubmed/34217345
http://dx.doi.org/10.1186/s13018-021-02566-4
work_keys_str_mv AT abdoliabbas acadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications
AT asadianmajid acadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications
AT banadakyseyedhousseinsaeed acadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications
AT sarramrabeah acadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications
AT abdoliabbas cadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications
AT asadianmajid cadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications
AT banadakyseyedhousseinsaeed cadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications
AT sarramrabeah cadavericassessmentofpercutaneoustriggerfingerreleasewith15stabknifeitseffectivenessandcomplications