title: Kinematical and functional improvements of trigger digits after sonographically assisted percutaneous release of the A1 pulley.
abstract: We present evidence of kinematic and functional improvements of the trigger digit after sonographically assisted percutaneous release using quantitative motion analyses and functional assessments, respectively. Twenty-two patients with idiopathic trigger digits, who received the surgery, were recruited. A motion tracking system was used to measure the assigned kinematics parameters at the presurgical visit and at 1, 4, and 12 weeks after surgery. The hand strength and functional outcome were also obtained using dynamometer and self-report questionnaire assessments. The hand strength, maximal workspace, and joint range of motion of the involved digit were significantly smaller than that of the intact finger on the contralateral hand before surgery. The triggering phenomenon of the involved digit was significantly higher than that of the corresponding finger in the intact hand using a subscribed angular acceleration factor. The repeated measures showed that the workspace, joint range of motion, hand strength, and triggering effect of the involved hand significantly improved in follow-up examinations after the surgical intervention. Painful movement or insufficient tendon excursion of the trigger digit can cause loss of movement and strength, thus interfering with functional performance. After the disappearance of the pain and triggering by sonographically assisted percutaneous release, improvements in kinematics and function were objectively quantified in this study.
authors.affiliation: Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Li-Chieh
authors.initials: LC
authors.lastname: Kuo
authors.forename: Fong-Chin
authors.initials: FC
authors.lastname: Su
authors.forename: Wen-Lin
authors.initials: WL
authors.lastname: Tung
authors.forename: Kuan-Yin
authors.initials: KY
authors.lastname: Lai
authors.forename: I-Ming
authors.initials: IM
authors.lastname: Jou
mesh_terms: D000054:Acceleration; D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D005260:Female; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000502:physiology; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D009068:Movement / Q000502:physiology*; D053581:Muscle Strength Dynamometer; D019637:Orthopedic Procedures; D016059:Range of Motion, Articular / Q000502:physiology; D013710:Tendons / Q000000981:diagnostic imaging / Q000502:physiology; D013933:Thumb / Q000000981:diagnostic imaging / Q000502:physiology; D052582:Trigger Finger Disorder / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D014463:Ultrasonography