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REVIEW ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 4  |  Page : 1068-1073

Occurrence of trigger finger following carpal tunnel release


Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan

Correspondence Address:
Dr. Masatoshi Yunoki
Department of Neurosurgery, Kagawa Rosai Hospital, 3-3-1 Joto-cho, Marugame, Kagawa
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_149_19

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Surgical treatment of carpal tunnel syndrome (CTS) was recently started in our department, and we noticed that the development of trigger finger (TF), with which neurosurgeons are generally unfamiliar, is not rare after such treatment. We summarized the clinical and pathogenetic aspects of TF and retrospectively analyzed the medical records of all 39 patients who underwent CTR in our department to investigate the occurrence of TF. In 39 patients with CTS, 46 surgical interventions were performed in our department. All surgical procedures were carried out by open release of the transverse carpal ligament under local anesthesia infiltration, but the distal forearm fascia was not released. The mean postoperative follow-up period was 21.1 ± 16.8 months. TF after CTR occurred in nine hands of eight patients (9 of 46 hands, 19.6%). The mean interval between CTR and TF onset was 5.3 ± 2.8 months. TF after surgical treatment of CTS is not rare; therefore, surgeons who treat CTS should understand the clinical features of TF and carefully assess affected patients, particulary at presentation and within 6 months postoperatively.


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