COMPARISON OF THE SURGICAL OUTCOMES FOR TRIGGER FINGER AND TRIGGER THUMB: PRELIMINARY RESULTS
COMPARISON OF THE SURGICAL OUTCOMES FOR TRIGGER FINGER AND TRIGGER THUMB: PRELIMINARY RESULTS
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DOI：
10.1142/s0218810405002619
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发表时间：
2005-07-01
影响因子：
0.5
通讯作者：
Kawaji, Y.
中科院分区：
文献类型：
--
作者：
Moriya, K.;Uchiyama, T.;Kawaji, Y.
我们回顾了 110 个经过手术治疗的扳机指，以比较扳机指和扳机拇指的围手术期特征和并发症。扳机拇指的患者主要抱怨运动时疼痛，而扳机指的患者则抱怨触发或运动范围有限。扳机指在手术前的持续时间明显长于扳机拇指。扣扳机的手指症状需要更长的时间才能消退。在我们的系列研究中，64% 的扳机指在术后三周以上出现 PIP 关节屈曲挛缩。我们的结果表明，扳机指和拇指的围手术期特征和结果不同，扳机指的手术结果比扳机拇指差，部分原因是 PIP 关节的屈曲挛缩。
We reviewed 110 trigger digits, treated surgically, to compare the outcomes of trigger finger and trigger thumb in terms of perioperative characteristics and complications. The patients with trigger thumb complained mainly of pain on motion, while those with trigger finger complained of triggering or limited range of motion. Trigger fingers had a significantly longer duration before surgery than did trigger thumbs. Trigger fingers took significantly longer for the symptoms to subside. In our series, 64% of trigger fingers had a flexion contracture of the PIP joint more than three weeks after surgery. Our results suggest that the peri-operative characteristics and outcomes differ between trigger finger and thumb, and that the surgical outcome for trigger finger was poorer than that for trigger thumb, partly due to flexion contracture of the PIP joint.