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KMID : 0361619950300041027
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Journal of the Korean Orthopaedic Association
1995 Volume.30 No. 4 p.1027 ~ p.1032
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Passive Release of Pulley with Needle for Trigger Finger
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Jung Su-Il
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Abstract
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The purpose of this study was to assess the results of passive release of the pulley with needle under local anesthesia performed at the out patient department. There were 68 fingers of 54 patients. Fifteen patients(27.8%) were male and 39
patients(72.2%) were female. Involved fingers were 28 thumbs(41.2%), 7(10.3%) index fingers, 14(20.6%) middle fingers, and 19(27.9%) ring fingers. Ages were varied between 41 years and 61 years old. Rheumatoid fingers were 12(17.6%). The others
had
no
underlying disease. An 18 gauge needle was introduced distal to the palpable nodule. The pulley was released passively when the PIP joint was extended. The follow-up period was 4.5 years on average(range ; 1-8 years). at final follow-up local
recurrence
was noted in 1-2 weeks in 7 cases(10.3%), which was due to technical fault in early thrial cases. The patients complained of pain for a few days and mild tenderness for less than 2 weeks. in three cases adhesion occurred. Which was resolved in a
week by
maniqulation. There was no difference between rheumatoid arthritis and the other underlying diseases as far s rate of recurrence was concerned.
From these results it would be suggested that the passive release of pulley with needle is an effective method for the treatment of adult trigger finger.
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KEYWORD
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