- •Effects of postoperative rehabilitation for trigger finger with joint contracture are shown.
- •Quantitative evaluation of trigger finger function before and after surgery is shown.
- •Participants who received rehabilitation demonstrated greater improvements.
To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release.
Nonrandomized controlled trial.
Hospital and local community.
Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12).
All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery.
Main Outcome Measures
The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist.
The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49% vs 17%), ROM of the distal interphalangeal (DIP) joint (16% vs 4%), ROM of the proximal interphalangeal (PIP) joint (21% vs 5%), and total active ROM (17% vs 5%).
This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.
List of abbreviations:A1 (first annular), DIP (distal interphalangeal), MP (metacarpophalangeal), PIP (proximal interphalangeal), ROM (range of motion)
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- Tenosynovitis and tennis elbow.in: Green D.P. Hotchikiss R.N. Pederson W.C. Green’s operative hand surgery. Churchill Livingstone, Philadelphia1999: 1989-1991
- Quantitative evidence of kinematics and functional differences in different graded trigger fingers.Clin Biomech. 2010; 25: 535-540
- Quantifying catch-and-release: the extensor tendon force needed to overcome the catching flexors in trigger fingers.J Orthop Res. 2013; 31: 1130-1135
- Trigger digits: diagnosis and treatment.J Am Acad Orthop Surg. 2001; 9: 246-252
- Management and referral for trigger finger/thumb.BMJ. 2005; 331: 30-33
- Trigger digits: principles, management, and complications.J Hand Surg [Am]. 2006; 31: 135-146
- Cadaveric study of sonographically assisted percutaneous release of the A1 pulley.Plast Reconstr Surg. 2005; 115: 811-822
- Sonographically assisted percutaneous release of the a1 pulley: a new surgical technique for treating trigger digit.J Hand Surg [Br]. 2006; 31: 191-199
- Kinematical and functional improvements of trigger digits after sonographically assisted percutaneous release of the A1 pulley.J Orthop Res. 2009; 27: 891-896
- Adverse events of open A1 pulley release for idiopathic trigger finger.J Hand Surg [Am]. 2012; 37: 1650-1656
- Surgeon's and therapist's management of tendonopathies in the hand and wrist.in: Mackin E.J. Callahan A.D. Skirven T.M. Schneider L. Osterman A.L. Rehabilitation of the hand and upper extremity. Mosby, Maryland Heights2002: 931-953
- Handbook of orthopaedic rehabilitation.Mosby, Maryland Heights2007
- The motion analysis system and goniometry of the finger joints.J Hand Surg [Br]. 1998; 23: 788-791
- Movement of finger joints induced by synergistic wrist motion.Clin Biomech. 2005; 20: 491-497
- A method of two-dimensional measurement for evaluating finger motion impairment: a description of the method and comparison with angular measurement.J Hand Surg [Br]. 1995; 20: 691-695
- The motion analysis system and the fingertip motion area: normal values in young adults.J Hand Surg [Br]. 1998; 23: 53-56
- Comparison of the surgical outcomes for trigger finger and trigger thumb: preliminary results.Hand Surg. 2005; 10: 83-86
- Resection of the flexor digitorum superficialis for trigger finger with proximal interphalangeal joint positional contracture.J Hand Surg [Am]. 2012; 37: 2269-2272
- Management of extensor tendon injuries.Open Orthop J. 2012; 6: 36-42
- Tendon gliding exercises.Am J Occup Ther. 1987; 41: 164-167
- Trigger finger: not always work related.J Ky Med Assoc. 1996; 94: 498-499
Published online: September 20, 2014
Supported by the Taiwan National Science Council (grant no. NSC 98-2627-B-006-014).
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.