Percutaneous Release for Trigger Thumb in Children Under General and Local Anesthesia
A retrospective trial of percutaneous release for 40 trigger thumbs in 33 children under different types of anesthesia (general versus local) at a mean age of 2.5 years was conducted between February 1989 and March 2003. Based on the tolerance of the child and parents, 20 children were processed usi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2004-11-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09702566 |
| _version_ | 1818573866834853888 |
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| author | Hsien-Chung Wang Gau-Tyan Lin |
| author_facet | Hsien-Chung Wang Gau-Tyan Lin |
| author_sort | Hsien-Chung Wang |
| collection | DOAJ |
| description | A retrospective trial of percutaneous release for 40 trigger thumbs in 33 children under different types of anesthesia (general versus local) at a mean age of 2.5 years was conducted between February 1989 and March 2003. Based on the tolerance of the child and parents, 20 children were processed using local anesthesia at our office and 13 children were given general anesthesia. We recommend special manipulation to ensure complete release of the A1 pulley when general anesthesia is necessary. Of the 26 trigger thumbs in the local anesthesia group, 23 were successfully released. Only one patient in the general anesthesia group had an unsatisfactory outcome. Percutaneous surgery achieved a 90% successful release rate for trigger thumb in children, without recurrence. There was no statistical difference in the release of trigger thumbs with these two anesthetic procedures (p = 0.66). Overall, 37 trigger thumbs achieved full extension and flexion without any residual deformity following percutaneous release. Our results suggest that percutaneous release for trigger thumb is satisfactory, no matter which method of anesthesia is used. |
| first_indexed | 2024-12-15T00:18:38Z |
| format | Article |
| id | doaj.art-afc39e2b11e54301beb643b6a6711d64 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-15T00:18:38Z |
| publishDate | 2004-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-afc39e2b11e54301beb643b6a6711d642022-12-21T22:42:23ZengWileyKaohsiung Journal of Medical Sciences1607-551X2004-11-01201154655110.1016/S1607-551X(09)70256-6Percutaneous Release for Trigger Thumb in Children Under General and Local AnesthesiaHsien-Chung WangGau-Tyan LinA retrospective trial of percutaneous release for 40 trigger thumbs in 33 children under different types of anesthesia (general versus local) at a mean age of 2.5 years was conducted between February 1989 and March 2003. Based on the tolerance of the child and parents, 20 children were processed using local anesthesia at our office and 13 children were given general anesthesia. We recommend special manipulation to ensure complete release of the A1 pulley when general anesthesia is necessary. Of the 26 trigger thumbs in the local anesthesia group, 23 were successfully released. Only one patient in the general anesthesia group had an unsatisfactory outcome. Percutaneous surgery achieved a 90% successful release rate for trigger thumb in children, without recurrence. There was no statistical difference in the release of trigger thumbs with these two anesthetic procedures (p = 0.66). Overall, 37 trigger thumbs achieved full extension and flexion without any residual deformity following percutaneous release. Our results suggest that percutaneous release for trigger thumb is satisfactory, no matter which method of anesthesia is used.http://www.sciencedirect.com/science/article/pii/S1607551X09702566percutaneous releasetrigger thumblocal anesthesiageneral anesthesia |
| spellingShingle | Hsien-Chung Wang Gau-Tyan Lin Percutaneous Release for Trigger Thumb in Children Under General and Local Anesthesia Kaohsiung Journal of Medical Sciences percutaneous release trigger thumb local anesthesia general anesthesia |
| title | Percutaneous Release for Trigger Thumb in Children Under General and Local Anesthesia |
| title_full | Percutaneous Release for Trigger Thumb in Children Under General and Local Anesthesia |
| title_fullStr | Percutaneous Release for Trigger Thumb in Children Under General and Local Anesthesia |
| title_full_unstemmed | Percutaneous Release for Trigger Thumb in Children Under General and Local Anesthesia |
| title_short | Percutaneous Release for Trigger Thumb in Children Under General and Local Anesthesia |
| title_sort | percutaneous release for trigger thumb in children under general and local anesthesia |
| topic | percutaneous release trigger thumb local anesthesia general anesthesia |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09702566 |
| work_keys_str_mv | AT hsienchungwang percutaneousreleasefortriggerthumbinchildrenundergeneralandlocalanesthesia AT gautyanlin percutaneousreleasefortriggerthumbinchildrenundergeneralandlocalanesthesia |