Treating Trigger Finger in Diabetics using Excision of the Ulnar Slip of the Flexor Digitorum Superficialis with or without A1 Pulley Release
Treating Trigger Finger in Diabetics using Excision of the Ulnar Slip of the Flexor Digitorum Superficialis with or without A1 Pulley Release
复制标题
通过切除指浅屈肌尺骨滑移并伴有或不伴有 A1 滑轮释放来治疗糖尿病患者的扳机指
作者：
A. Marcus;J. Culver;T. R. Hunt
本研究的目的是评估切除尺侧指浅屈肌腱滑脱，有或没有A1滑轮释放，治疗糖尿病患者的扳机指的结果。我们进行了回顾性分析和长期随访检查。获得了18例连续患者（37指）的短期数据。在术后平均48个月收集了其中14例患者（24根手指）的长期信息。短期随访显示平均近端指间关节（PIP）屈曲81°。1例患者有轻微残留触发。在长期随访中，93%的患者对手术完全或非常满意。手指活动度平均为218°，PIP伸展不足平均小于5°。夹持强度等于对侧相应手指。无明显并发症。一根手指有轻微的残留触发。总之，该手术是治疗糖尿病患者狭窄性屈肌腱鞘炎的安全有效的方法。
The purpose of this study was to evaluate the results of excision of the ulnar slip of the flexor digitorum superficialis tendon, with or without A1 pulley release, for the treatment of trigger finger in diabetic patients. We performed a retrospective review with long-term follow-up examinations. Short-term data was obtained on 18 consecutive patients (37 fingers). Long-term information was collected on 14 of these patients (24 fingers) at an average of 48 months after surgery. Short-term follow-up revealed average proximal interphalangeal joint (PIP) flexion of 81°. One patient had slight residual triggering. At long-term follow-up, 93% of patients were completely or very satisfied with the procedure. Total active finger motion averaged 218°, and PIP extension deficit averaged less than 5°. Pinch strength was equal to the contralateral corresponding finger. There were no significant complications. One finger had minimal residual triggering. In conclusion, this procedure is a safe and effective treatment for the often-difficult problem of stenosing flexor tenosynovitis in the diabetic patient.