Resection of one or both slips of the flexor digitorum superficialis tendon for cases of severe trigger fingers. A randomized prospective single center study.
Details
Under indefinite embargo.UNIL restricted access
State: Public
Version: After imprimatur
License: Not specified
Serval ID
serval:BIB_F80AF5332F68
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Resection of one or both slips of the flexor digitorum superficialis tendon for cases of severe trigger fingers. A randomized prospective single center study.
Director(s)
RAFFOUL W.
Codirector(s)
CHRISTEN T.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2019
Language
english
Number of pages
27
Abstract
Trigger finger general information
Trigger finger, also known as stenosing flexor tenosynovitis, is a clinical condition affecting
the flexor tendons of the hand. It is a common cause of hand pain and disability. Its prevalence
is estimated at 2% of the general population(1,2), but it appears to be more frequent in the
presence of some specific conditions such as diabetes, hypothyroidism, rheumatoid arthritis,
Dupuytren’s contracture, De Quervain’s tenovaginitis and carpal tunnel syndrome(2–6). The
pathology is related to a mechanical disorder caused by an alteration of the retinacular sheath
of the finger flexor tendons. The hypertrophy and fibrocartilaginous metaplasia restrict the
tendon’s mobility and can lead to the classic symptoms: discomfort and/or pain in the hand,
triggering while mobilizing the involved digit. In some cases, the finger shows a positional
contracture of the proximal interphalangeal (PIP) joint. Most of the time, the triggering occurs
near the metacarpal head of the finger, where the first annular pulley (A1 pulley) is located(7–9).
Trigger finger, also known as stenosing flexor tenosynovitis, is a clinical condition affecting
the flexor tendons of the hand. It is a common cause of hand pain and disability. Its prevalence
is estimated at 2% of the general population(1,2), but it appears to be more frequent in the
presence of some specific conditions such as diabetes, hypothyroidism, rheumatoid arthritis,
Dupuytren’s contracture, De Quervain’s tenovaginitis and carpal tunnel syndrome(2–6). The
pathology is related to a mechanical disorder caused by an alteration of the retinacular sheath
of the finger flexor tendons. The hypertrophy and fibrocartilaginous metaplasia restrict the
tendon’s mobility and can lead to the classic symptoms: discomfort and/or pain in the hand,
triggering while mobilizing the involved digit. In some cases, the finger shows a positional
contracture of the proximal interphalangeal (PIP) joint. Most of the time, the triggering occurs
near the metacarpal head of the finger, where the first annular pulley (A1 pulley) is located(7–9).
Keywords
Hand surgery, Trigger finger, Tenosynovitis, FDS slip resection, Cohort study, trigger
Create date
07/09/2020 10:34
Last modification date
09/02/2021 7:26
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