SUBCUTANEOUS

J. TANAKA,

RELEASE OF TRIGGER FINGERS IN 210 FINGERS

M. MURAJI,

H. NEGORO,

H. YAMASHITA,

THUMB

T. NAKANO

AND

and K. NAKANO

From the Hyogo College of Medicine, Nishinomiya, Japan

Subcutaneous release of the tendon sheath has been performed in 210 trigger digits of 172 patients. The follow-up period ranged from 3 to 58 months, with an average of 24 months. Based on our points system, the overall results were as follows: excellent 64.3%, good 9.5’& fair S.l%, poor 18.1%. There were no infections, no injuries of nerves or vessels and no functional insufficiency. This subcutaneous procedure can be easily, quickly and safely performed by careful hand surgeons in the out-patient clinic. Journal of Hand Surgery

(British Volume, 1990)

1.5B : 463-46.5

There are two kinds of operative procedure for trigger digits : one is to incise enough skin to do a wide resection of tendon sheath and the other is to insert a small scalpel through the skin and cut the tendon sheath subcutaneously. The former procedure has been commonly performed throughout the world. In our department, subcutaneous release of the tendon sheath has been carried out for the last five years.

Table l-Our

method of evaluation

~

Evaluation

Material and method

Excellent

Subcutaneous release of the tendon sheath has been performed in 210 digits of 172 patients (male : 49, female : 123) between August 1983 and December 1988. Their ages ranged from 5 to 80 years (average 48.6). The digits affected were :

Good

,,

2 points

Subcutaneous release of trigger thumb and fingers in 210 fingers.

Subcutaneous release of the tendon sheath has been performed in 210 trigger digits of 172 patients. The follow-up period ranged from 3 to 58 months, w...
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