Edson S Sato1. 1. Department of Orthopedics and Traumatology, Discipline of Hand and Upper Limb Surgery, UNIFESP - Federal University of São Paulo, São Paulo City, São Paulo, Brazil.
I believe that percutaneous trigger finger release is a safe method. Many studies proved it.We performed a randomized study in 150 trigger fingers. The study evaluated the effectiveness of CS injection, percutaneous pulley release and conventional open surgery for treating trigger finger in terms of cure, relapse and complication rates.[12]We did not observe any lesion of the digital nerve among the three treatment groups, which would be a distressing factor, principally for the percutaneous method group. We believe that the demarcation of the longitudinal axis of the tendon in the percutaneous technique and precise anatomical knowledge of the pulleys are important factors for preventing complications, which is similar to the conclusion reached in anatomical studies.[3-5]The percutaneous and open surgery methods displayed similar effectiveness and proved superior to the conservative CS method regarding the trigger cure and relapse rates.
Authors: Haroldo J Fiorini; João B G Santos; Celso K Hirakawa; Edson S Sato; Flávio Faloppa; Walter M Albertoni Journal: J Hand Surg Am Date: 2011-01-31 Impact factor: 2.230
Authors: Edson S Sato; João B Gomes Dos Santos; João C Belloti; Walter M Albertoni; Flavio Faloppa Journal: Rheumatology (Oxford) Date: 2011-10-29 Impact factor: 7.580
Authors: Bradon J Wilhelmi; Arian Mowlavi; Michael W Neumeister; Reuben Bueno; W P Andrew Lee Journal: Plast Reconstr Surg Date: 2003-09-15 Impact factor: 4.730