80 Cases Study on Different Approaches of Ultrasound-Guided Needle Knife in the Treatment of Trigger Finger of Thumb
Objective:To observe the efficacy of different acupotomy approaches in the treatment of trigger finger of thumb under ultrasound guidance.Methods:From January 2022 to January 2024,80 cases diagnosed with thumb trigger finger and meeting the inclusion criteria were included,and were randomly divided into proximal group and distal group,40 cases in each group.The two groups were treated with ultrasound-guided needle knife puncture through the proximal and distal ends to release the A1 pulley through the percutaneous approach combined with intrathecal injection.The VAS scores,qDASH scores and additional treatment of the two groups of patients were observed at 1 week,3 weeks and 3 months post-treatment,as well as the overall treatment effect and the occurrence of adverse reactions in both patient groups were observed.Results:There was no difference in the basic data of the two groups of patients(P＞0.05),and no difference in the VAS scores,numbers of additional treatments and the overall treatment effect 1 week,3 weeks,and 3 months after treatment(P＞0.05).Compared with the proximal group,the distal group had shorter treatment durations,lower qDASH scores at 1 week,3 weeks,and 3 months after treatment,higher cure rate,and the incidence of adverse reactions was lower(P＜0.05).Conclusion:Ultrasound-guided percutaneous approach to release the A1 pulley combined with intrathecal in-jection for the treatment of thumb trigger finger has a short treatment time,higher cure rate,more ideal functional recover-y,and lower incidence of adverse reactions,which is worthy of clinical promotion.
acupotomy treatmentultrasonographytrigger fingerstenosing tenosynovitis of thumbA1 pulley
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