#21
JOURNAL ARTICLE
Natalie Yu Yi Ng, Renita Sirisena, Ying Xian Chua
No abstract text is available yet for this article.
April 2023: Singapore Medical Journal
#22
JOURNAL ARTICLE
Vivek Kumar, Jatin Talwar, Ashish Rustagi, Loveneesh G Krishna, Vinod Kumar Sharma
Background Platelet-rich plasma (PRP) has local anti-inflammatory actions, which is being used as a treatment in various tendinopathies. Purpose The aim of the study is to compare the clinical results of PRP injection and corticosteroid injection in the management of de Quervain's tenosynovitis (DQTSV). Patients and Methods In this prospective study, 60 patients of DQTSV, fulfilling the predefined inclusion and exclusion criteria, were randomised into two groups. In group 1 ( n = 30), patients received a single injection of autologous PRP and in group 2 ( n = 30) they received a single injection of corticosteroid (methylprednisolone)...
April 2023: Journal of Wrist Surgery
#23
JOURNAL ARTICLE
Saywan K Asaad, Kawa A Mahmood, Sakar O Arif, Berun A Abdalla, Abdulwahid M Salih, Fahmi H Kakamad, Shvan H Mohammed, Rawezh Q Salih, Karukh K Mohammed, Karzan M Salih
De Quervain's tenosynovitis (DQT) is a painful stenosing tenosynovitis of the first dorsal compartment of the wrist, which may be refractory to conservative treatments. The present study aimed to evaluate the efficacy of ultrasound (US)-guided platelet-rich plasma (PRP) injection for the management of DQT. For this purpose, from January, 2020 to February, 2021, 12 patients with DQT who received the US-guided PRP injection were studied prospectively. All patients were evaluated clinically for pain intensity using the visual analog scale and sonographically prior to treatment...
2023: Med Int (Lond)
#24
Antonio Corvino, Valeria Lonardo, Fabio Corvino, Domenico Tafuri, Andrea Delli Pizzi, Giulio Cocco
De Quervain's tenosynovitis involves the first of the six dorsal compartments of the wrist, which contains the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons. It seems to be associated with female sex (F:M = 10:1), middle age (30-50 years) and activities involving repetitive hand and wrist motions such as typing, piano playing or repetitively lifting children head, such as in postpartum females (hence the term "baby wrist" or "mommy wrist"). Aim of this paper was to illustrate high-resolution ultrasound (US) features of the DQD by describing a well-documented case that occurred in a "new dad" taking care of his babe...
February 8, 2023: Journal of Clinical Ultrasound: JCU
#25
JOURNAL ARTICLE
Ather Mirza, Justin Mirza, Luke Zappia, Terence L Thomas, Jagger Corabi, Robert Talay
BACKGROUND: This study aimed to examine the relationship between anatomical surface landmarks in fresh frozen cadavers as related to in vivo endoscopic trigger finger release (ETFR) and present clinical outcomes after a single-portal antegrade ETFR technique. METHODS: Endoscopic trigger finger release was performed on 40 cadaveric digits. Each digit was dissected and the following measurements were recorded: distance from palmar digital crease and A1 pulley, length of the A1 pulley, percentage of A1 pulley released, and injury to vulnerable anatomy...
February 1, 2023: Hand: Official Journal of the American Association for Hand Surgery
#26
JOURNAL ARTICLE
Yifeng Shen, Qiaoyin Zhou, Xiaojie Sun, Shiliang Li, Weiguang Zhang
BACKGROUND: De Quervain's disease is a painful stenosing tenosynovitis of the first dorsal compartment of the hand affecting the tendons of the abductor pollicis longus and extensor pollicis brevis. This study aimed to evaluate the safety and efficacy of percutaneous first extensor compartment releases performed on embalmed cadaveric models by acupotomy operation with or without US guidance. METHODS: Percutaneous release was performed with an acupotomy on 59 wrists of cadavers; 23 wrists were operated with US guidance, and 39 wrists were operated without US guidance...
2022: Journal of Pain Research
#27
JOURNAL ARTICLE
Wei-Xing Zhong, Zu-Jiang Chen, Wei-Jie Peng, Rui-Bin Gu, Jun-Hua Li, Yi-Kai Li
Through anatomy, microscope, histopathology, and simulating needle knife operation on specimens, to accumulate the relevant parameters of the A1 pulley of thumb, and to provide an anatomical evidence for the needle knife therapy of stenosing flexor tenosynovitis. A total of 20 fingers were selected from 20 intact adult upper limb specimens, a small amount of emerald green waterproof dye was injected from the needle insertion point, dissected layer by layer, and the A1 pulley and neurovascular bundle were observed...
December 5, 2022: Scientific Reports
#28
JOURNAL ARTICLE
Zuyun Qiu, Hui Li, Yifeng Shen, Yan Jia, Xiaojie Sun, Qiaoyin Zhou, Shiliang Li, Weiguang Zhang
Objective: The present study aimed to assess the efficacy and safety of ultrasound-guided percutaneous A1 pulley release using a needle knife. Methods: The author performed percutaneous A1 pulley release in 84 cadaveric hands fixed with 10% formalin. The cadaveric hands were divided into three groups: 28 hands in each group (group U: ultrasound-guided needle knife pushing group, group N: non-ultrasound-guided needle knife pushing group, group T: classical needle knife operation puncture group)...
2022: Frontiers in Surgery
#29
Wahyuningsih Djaali, Rahmania Kannesia Dahuri, Yoshua Viventius, Helda Helda
Background: Trigger digits or stenosing tenosynovitis comprise a pathologic condition of the fingers caused by inflammation and thickening of the synovial tendon sheaths. Treatment of trigger digits is performed to relieve pain and improve function of the affected fingers. Case: A 64-year-old male patient, with pain (visual analogue scale [VAS] score of 5) and stiffness in the fifth finger of his right hand. He was diagnosed with a trigger digit and controlled type 2 diabetes...
August 1, 2022: Medical Acupuncture
#30
Antonius Hapindra Kasim, Yoshua Viventius
BACKGROUND: Trigger fingers is a condition that causes locking/stiffness due to inflammation and hypertrophy of the tendon sheaths. This inflammatory process occurs due to degenerative conditions, such as aging, chronic daily overuse, and other factors such as metabolic disorders. CASE: A 51-year-old woman had grade IIIb trigger finger on her right hand for ∼2 months before going to an outpatient clinic. She also had stiffness and swelling for a longer time but it felt more severe by the time she presented at the clinic, thus, interfering with her work and quality of life (QoL)...
August 1, 2022: Medical Acupuncture
#31
REVIEW
Hermann Mühlendyck
CLINICAL FEATURES: Acquired Jaensch-Brown syndrome is characterized by a mechanical limitation of elevation in adduction, with orthophoria in downward gaze. It was first described by Jaensch in 1928 after orbital trauma in his case and has the same motility pattern as congenital Brown's syndrome. For this reason, in 1973 Brown differentiated between the "true" and "simulated" cases. Further clinical findings of the different etiological factors must be considered in order to differentiate between the two groups...
August 24, 2022: Ophthalmologie
#32
JOURNAL ARTICLE
Jai Ramchandani, Arjuna Thakker, Thahesh Tharmaraja
De Quervain's tenosynovitis (DQT) is described to be an attritional and degenerative process, triggered by stenosing inflammation of the tendon sheath in the first dorsal compartment of the wrist. Understanding and targeting the risk factors associated with DQT will help clinicians and patients to reduce its prevalence. This review aims to evaluate the current literature surrounding the risk factors which were divided into the anatomical, patient, and occupational factors associated with the condition. The two main anatomical variations associated with DQT are subcomparmentalization and multiple tendon slips of the abductor pollicus longus (APL) and extensor pollicus brevis (EPB) tendons...
2022: Orthopedic Reviews
#33
REVIEW
Rainer Schmitt, Nina Hesse, Jan-Peter Grunz
BACKGROUND: The tendons of the hand run in close proximity to each other and within retinacular tunnels adjacent to articular joints, while forming intersections in characteristic locations. The enclosing tendon sheaths are often sites of systemic or infectious inflammation. METHOD: This review article outlines the different entities of tendon and tendon sheath pathology and their manifestation in the hands. Diagnostic findings in tendon and tendon sheath disorders are illustrated using MRI imaging and discussed in context with the current literature...
December 2022: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
#34
JOURNAL ARTICLE
Daniel D Binz, Thomas W Mitchell, Scott A Mitchell
BACKGROUND: Stenosing flexor tenosynovitis is commonly treated by injection of corticosteroids into the flexor tendon sheath. However, there is no consensus in the literature regarding the optimal technique, specifically when not utilizing ultrasound guidance. Here, we present a cadaver study in which 3 common techniques of flexor sheath injection were compared with regard to their accuracy and safety profiles. METHODS: Fifteen fresh-frozen cadaver hands (60 digits) were evenly divided into 3 groups (20 digits per group)...
June 3, 2022: Hand: Official Journal of the American Association for Hand Surgery
#35
RANDOMIZED CONTROLLED TRIAL
Hamidreza Tajik, Niloofar Shirzad, Sarvenaz Rahimibarghani, Bahare Rezapour, Mohammad Nejadhosseinian, Seyedeh T Faezi, Hamid R Fateh
BACKGROUND: Trigger finger is the most common flexor tendinopathy affecting the general population. We evaluated the effects of adding a static metacarpophalangeal joint splint to corticosteroid injection for the management of trigger finger in the short term. METHODS: We carried out a randomized controlled trial with two parallel arms in Department of Physical Medicine and Rehabilitation at a university hospital. We randomly allocated 60 participants (34 women) with trigger fingers other than the thumb to two groups (both n = 30)...
December 2022: Musculoskeletal Care
#36
Monika Patel, Michael Aiello
65 year old male with preexisting Complex Regional Pain Syndrome (CRPS) in right dominant hand with sudden onset of right third and fourth digit trigger finger successfully treated with flexor tendon sheath corticosteroid and lidocaine injection resulting in long-term resolution of symptoms without causing widely believed aggravation of CRPS.
2022: Case Reports in Plastic Surgery & Hand Surgery
#37
JOURNAL ARTICLE
Ammer Dbeis, John Ngo, Emerald Chiang, Andre Ishak
INTRODUCTION: Flexor pollicis longus (FPL) tendon rupture is a known complication after a distal radius (DR) fracture and subsequent fixation with a volar plate. A commonly accepted theory is the attrition of the flexor tendon by the prominent volar plate or theoretical injury to the tendon during the initial injury. An increasingly rare complication of distal radius open reduction internal fixation (ORIF) with volar plate fixation is stenosing tenosynovitis, more commonly known as trigger finger...
May 2022: International Journal of Surgery Case Reports
#38
JOURNAL ARTICLE
Lei Ge, Lei Zhang, Libin Lu
RATIONALE: Rice bodies are usually found in several nonspecific chronic inflammatory diseases that are symptomatically dominated by primary disease and local compression symptoms. Rice bodies are usually detected by magnetic resonance imaging; however, some remote areas and areas with poor economic conditions do not have access to magnetic resonance imaging examination, which leads to delayed diagnosis of the disease. PATIENT CONCERNS: We report the case of a 62-year-old man with pain in the metacarpophalangeal joint of his right middle finger and limited flexion activity of his middle finger...
February 18, 2022: Medicine (Baltimore)
#39
JOURNAL ARTICLE
Ather Mirza, Justin Mirza, Terence L Thomas, Luke Zappia, Jacob Abulencia
BACKGROUND: Open trigger finger release (OTFR) and endoscopic trigger finger release (ETFR) are effective methods in treating stenosing tenosynovitis. However, a paucity of literature exists comparing the techniques. This study describes and compares postoperative complications following OTFR and ETFR at a single institution. METHODS: Patients undergoing trigger finger release between 2018 and 2020 within a single institution were identified. Electronic medical records were reviewed for patient demographics, surgical history, surgical characteristics, and clinical outcomes...
March 30, 2022: Hand: Official Journal of the American Association for Hand Surgery
#40
JOURNAL ARTICLE
Peter Y W Chan, Virak Tan
The most common cause for catching or snapping in the finger is stenosing tenosynovitis, that is, trigger finger. Although less common, snapping can also occur as a result of extensor mechanism injury. Among these injuries, sagittal band rupture is most common and leads to snapping at the metacarpophalangeal joint. Snapping at the proximal interphalangeal (PIP) joint is rare with only 4 reported cases; reported mechanisms of PIP joint snapping include retinacular ligament injury or tendon impingement. We present a unique case of painful finger snapping at the PIP joint as a result of longitudinal tear of the central slip, leading to sudden subluxation of one-half of the central slip and conjoint lateral band with flexion of the PIP joint...
March 30, 2022: Hand: Official Journal of the American Association for Hand Surgery