Synovial Fistula as a Complication of Release of A1 Pulley for Trigger Finger
| Autor: | Guy Rubin, Hagay Orbach, Micha Rinott, Nimrod Rozen, Alejandro Wolovelsky |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.product_category genetic structures medicine.diagnostic_test business.industry Fistula Arthroscopy Case Report 030230 surgery medicine.disease Numerical digit Surgery Pulley 03 medical and health sciences Dissection 0302 clinical medicine Orthopedic surgery medicine Trigger finger Complication business |
| Popis: | Open release of A1 pulleys for trigger finger has been considered a minor and relatively safe procedure with a low complications rate [3]. Surgical technique consisted of a transverse skin incision over the A1 pulley, identification and longitudinal division of the A1 pulley. Some studies have shown complication rates ranging from 11 to 43 %, most of them being minor [3–6]. Synovial fistula (communication between a synovial or tenosynovial space and the external skin) in the palm is rare. It was described as a complication of fish fin injury, lacerations of the palm, pellet gun injury, and release of A1 pulleys for trigger finger [7]. Some studies showed a higher rate of wound complications, in patients who had intra-operative steroid injection, patients who had two or more surgeries in the same digit for trigger finger release, and patient who underwent extensive dissection in the first surgery [7]. Diabetes mellitus and preoperative steroid injections aren’t mentioned as risk factors. The most commonly reported synovial fistulas are those following arthroscopy of the knee [8, 9]. The precise rate of synovial fistula as a complication of release of A1 pulleys for trigger finger is not known because of its low incidence. This article describes two cases of synovial fistula after release of A1 pulleys. The objective of our article is to draw attention to the chain of events and the approach to the patient with tenosynovial fistula after release of A1 pulley for trigger finger. |
| Databáze: | OpenAIRE |
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