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ASSESSMENT SURGERY RESULTS TREAMENT OF TRIGGER FINGER AT CANTHO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL
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Abstract
Background: Trigger finger is a common condition affecting the hand, characterized by inflammation and swelling of the flexor tendon or tendon sheath, typically at the A1 pulley, impacting patients' daily activities. In Vietnam, numerous studies have been conducted on minimally invasive percutaneous techniques. However, there is limited research focusing on the thumb, which is the most frequently affected digit in trigger finger. Therefore, we decided to conduct this study. Objectives: To describe the clinical and paraclinical characteristics of trigger thumb in patients at Can Tho University of Medicine and Pharmacy Hospital. And to evaluate the treatment outcomes of trigger thumb using a minimally invasive percutaneous technique with an 18G needle. Objects and methods: A cross-sectional descriptive study was conducted on 30 patients diagnosed with trigger thumb and treated with minimally invasive percutaneous surgery using an 18G needle at Can Tho University of Medicine and Pharmacy Hospital from June 2023 to November 2024. Results: Among the 30 patients studied, the majority were female (87%), with males accounting for 13%. The 50-70 age group was the most common (53%), and manual laborers made up a significant portion (86.7%). Carpal tunnel syndrome was frequently associated (26.7%). Clinically, patients commonly presented with severe pain (80%) throughout the day (90%), swelling (16.7%), and a palpable nodule at the A1 pulley (100%). Ultrasound findings revealed thickening of the A1 pulley in most cases (76.7%) and peritendinous fluid (20%). Treatment outcomes, assessed using the DASH score, were predominantly good (76.7%) and fair (23.3%). No patients experienced postoperative complications. Conclusion: Minimally invasive percutaneous treatment of trigger thumb using an 18G needle demonstrated high treatment success rates, safety, low cost, and potential for widespread application
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Keywords
Trigger finger thumb, Percutaneous release, 18 gauge needle
References
2. Nguyễn Quốc Huy, Đánh giá kết quả ban đầu điều trị bệnh ngón tay bật bằng phẫu thuật tại bệnh viện trường đại học y khoa Thái Nguyên, Tạp chí khoa học & công nghệ, 2016; 65 (77-80).
3. Nguyễn Thành Tấn, Đánh giá kết quả điều trị ngón tay cò súng bằng phuơng pháp can thiệp tối thiểu qua da với kim 18, Tạp chí Y Dược học Quân Sự, 2015;6 (143).
4. Abdullah S Salim N, Sapuan J, et al (2012), "Outcome of corticosteroid injection versus physiotherapy in the treatment of mild trigger fingers", The Journal of hand surgery, European volume(1), pp. 27-34.
5. El-Deek AMF, Hassan Dawood EMAE-H, Role of ultrasonography in evaluation of tendons abnormalities in hand and fingers, Egyptian Journal of Radiology and Nucler Medicine, 2019;50(1):108-111.
6. Suphachatwong C Sungpet A, Kawinwonggowit V (1999), "Trigger digit and BMI", Journal of the medical Association of Thailand Chotmaihet thangphaet, 82(10), pp. 1025-1027.
7. Lim MH, Lim KK, Rasheed, et al, Outcome of open trigger digit release. The Journal of hand surgery; European volume, 2007;32(4):457-459.
8. Harberger S Jeanmonod R, Waseem M (2021), "Trigger Finger", StatPearls Publishing, StatPearls Publishing LLC, Treasure Island (FL).