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The technique of thread trigger finger release is the application of Guo Technique [2] and the procedure is similar to that of the thread carpal tunnel release. [ 3 ] The successful rate of TTFR is high and there are almost no complications such as incomplete release, neurovascular or flexor tendon or A2 pulley injury, infection, bow string, or ...
Trigger finger, also known as stenosing tenosynovitis, is a disorder characterized by catching or locking of the involved finger in full or near full flexion, typically with force. [2] There may be tenderness in the palm of the hand near the last skin crease (distal palmar crease ). [ 3 ]
A1 Pulley release through open surgery. Surgical treatment should be considered when the patient has a trigger thumb bilaterally and when the patient has a severe trigger thumb. Severe is defined as when the thumb is locked so that the thumb cannot be flexed or extended either passively or actively.
Incomplete release of the TCL with persistent or recurrent CTS symptoms is the most frequent complication attributed to endoscopic carpal tunnel release surgery. Recurrent CTS develops in 7% to 20% of surgical cases. [42] The problem is difficult to address, and revision surgery is less successful than primary carpal tunnel release surgery. [43]
Release the thumb web space: it is possible to widen and deepen the area between the thumb and the index finger when it is too tight. To achieve this, a transposition flap or four-flap or five-flap Z-plasty can be used. Transposition flap: [17] skin flaps of the index finger and/or the thumb are moved to the web space.
Untreated carpal tunnel syndrome, showing shrinkage (atrophy) of the muscles at the base of the thumb: Specialty: Orthopedic surgery, plastic surgery, neurology: Symptoms: Numbness, tingling in the thumb, index, middle finger, and half of ring finger. [1] [2] Causes: Compression of the median nerve at the carpal tunnel [1] Risk factors ...
TOS can involve only part of the hand (as in the pinky and adjacent half of the ring finger), all of the hand, or the inner aspect of the forearm and upper arm. Pain can also be in the side of the neck, the pectoral area below the clavicle, the armpit/axillary area, and the upper back (i.e., the trapezius and rhomboid area).
In general the surgical treatment is done for improvement of the thumb function. However, an extra advantage of the surgery is the improvement in appearance of the thumb. In the past, surgical treatment of the triphalangeal thumb was not indicated, [11] but now it is generally agreed that operative treatment improves function and appearance ...