Quality of life following surgery for congenital or acquired trigger finger
Background: Evaluation of quality of life following surgical release of the first annular flexor tendon pulley in children suffering from pediatric trigger thumb in comparison to adult patients with trigger finger.Material and methods: All patients who underwent an A1 tendon pulley release between 2...
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Format: | Article |
Language: | deu |
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German Medical Science GMS Publishing House
2015-03-01
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Series: | GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery |
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Online Access: | http://www.egms.de/static/en/journals/gpras/2015-5/gpras000030.shtml |
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author | Sorg, Heiko Krämer, Robert Reinke, Julia M. Branski, Ludwik K. Knobloch, Karsten |
author_facet | Sorg, Heiko Krämer, Robert Reinke, Julia M. Branski, Ludwik K. Knobloch, Karsten |
author_sort | Sorg, Heiko |
collection | DOAJ |
description | Background: Evaluation of quality of life following surgical release of the first annular flexor tendon pulley in children suffering from pediatric trigger thumb in comparison to adult patients with trigger finger.Material and methods: All patients who underwent an A1 tendon pulley release between 2006 and 2010 at a hand surgery center were reviewed retrospectively. Chart review included operation type, length of hospital stay, and type of anesthesia. Patient satisfaction was assessed using two validated hand questionnaires, the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure and the German Michigan Hand Outcomes Questionnaire (MHQ).Results: A total of 13 children and 147 adults were included in the study. No postoperative complications or recurrence were observed in the pediatric patient population. Postoperative DASH score in children was 0±0 and in adults 14±2. Postoperative German MHQ score was 97±3 in children and 84±2 in adults. Patient satisfaction was rated positive in all children and in 87% of adults; all children and 93% of the adults would undergo this procedure again. Conclusions: The surgical release of the A1 pulley in children and adults is a safe and low-risk procedure. Postoperative quality of life, especially in children, is high; patients and parents were highly satisfied. Therefore, the surgical approach should be recommended as a first-line treatment of the trigger finger in all age groups. |
first_indexed | 2024-12-14T19:27:44Z |
format | Article |
id | doaj.art-dc6d7b287b7b472caa50622999d09f91 |
institution | Directory Open Access Journal |
issn | 2193-7052 |
language | deu |
last_indexed | 2024-12-14T19:27:44Z |
publishDate | 2015-03-01 |
publisher | German Medical Science GMS Publishing House |
record_format | Article |
series | GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery |
spelling | doaj.art-dc6d7b287b7b472caa50622999d09f912022-12-21T22:50:10ZdeuGerman Medical Science GMS Publishing HouseGMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery2193-70522015-03-015Doc0210.3205/gpras000030Quality of life following surgery for congenital or acquired trigger fingerSorg, Heiko0Krämer, Robert1Reinke, Julia M.2Branski, Ludwik K.3Knobloch, Karsten4Department of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, GermanyDepartment of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, GermanyDepartment of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, GermanyDepartment of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, GermanySportPraxis Prof. Dr. med. Karsten Knobloch, Hannover, GermanyBackground: Evaluation of quality of life following surgical release of the first annular flexor tendon pulley in children suffering from pediatric trigger thumb in comparison to adult patients with trigger finger.Material and methods: All patients who underwent an A1 tendon pulley release between 2006 and 2010 at a hand surgery center were reviewed retrospectively. Chart review included operation type, length of hospital stay, and type of anesthesia. Patient satisfaction was assessed using two validated hand questionnaires, the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure and the German Michigan Hand Outcomes Questionnaire (MHQ).Results: A total of 13 children and 147 adults were included in the study. No postoperative complications or recurrence were observed in the pediatric patient population. Postoperative DASH score in children was 0±0 and in adults 14±2. Postoperative German MHQ score was 97±3 in children and 84±2 in adults. Patient satisfaction was rated positive in all children and in 87% of adults; all children and 93% of the adults would undergo this procedure again. Conclusions: The surgical release of the A1 pulley in children and adults is a safe and low-risk procedure. Postoperative quality of life, especially in children, is high; patients and parents were highly satisfied. Therefore, the surgical approach should be recommended as a first-line treatment of the trigger finger in all age groups.http://www.egms.de/static/en/journals/gpras/2015-5/gpras000030.shtmlpediatric trigger thumbopen releaseDASHGerman MHQ |
spellingShingle | Sorg, Heiko Krämer, Robert Reinke, Julia M. Branski, Ludwik K. Knobloch, Karsten Quality of life following surgery for congenital or acquired trigger finger GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery pediatric trigger thumb open release DASH German MHQ |
title | Quality of life following surgery for congenital or acquired trigger finger |
title_full | Quality of life following surgery for congenital or acquired trigger finger |
title_fullStr | Quality of life following surgery for congenital or acquired trigger finger |
title_full_unstemmed | Quality of life following surgery for congenital or acquired trigger finger |
title_short | Quality of life following surgery for congenital or acquired trigger finger |
title_sort | quality of life following surgery for congenital or acquired trigger finger |
topic | pediatric trigger thumb open release DASH German MHQ |
url | http://www.egms.de/static/en/journals/gpras/2015-5/gpras000030.shtml |
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