Nebraska’s Most Trusted Orthopaedic Treatment Center - Nebraska Hand and Shoulder Institute
At Nebraska Hand & Shoulder Institute, P.C, our dedicated orthopedic doctor and team work relentlessly to prevent and eliminate painful or debilitating conditions of the upper and lower extremities.
We have a strong dedication to patient education with regular updates on our brochures, video, and verbal instruction, backed by ongoing clinical outcome research. With three convenient locations across Nebraska, we provide a variety of services including fracture care, nerve entrapment treatments, sports injury management, and arthritis treatments.
As a leading orthopaedic treatment center in Nebraska, we specialize in a variety of medical practices, one of them being Trigger Digit treatments.
Nebraska Hand and Shoulder Institute's Specialty: Trigger Digit Treatments
Our team is skilled and experienced in treating Trigger Digit. This condition affects the tendons, rope-like extensions of muscles that glide in a defined channel and attach to bone to enable joint motion.
Understanding Trigger Digit
Trigger finger, first identified in 1850, is a common cause of hand pain in adults. Its typical symptoms include localized discomfort in the hand, tenderness, morning stiffness, and in advanced cases, snapping of the finger.
Treating Trigger Digit at Nebraska Hand and Shoulder Institute
At our orthopaedic treatment center, our experienced orthopedic surgeon believes in early intervention. Research shows that early treatment, such as cortisone injection, significantly improves the success rate of procedures. However, for patients with severe symptoms or those who have had symptoms for an extended period, minor surgery could be required.
Surgery for Trigger Digit at Nebraska Hand and Shoulder Institute
The dedicated orthopaedic surgeon at Nebraska Hand and Shoulder Institute, Dr. Ichtertz, performs an A-1 pulley release, a surgical procedure for Trigger Finger, as an outpatient service. This procedure involves minimal risk and is usually pain-free.
Prognosis
With our patient-focused approach, many of our patients recover without needing surgery. For those who do undergo surgery, the prognosis is typically very good.
Call us to schedule an appointment
If you're looking for an experienced orthopaedic surgeon or joint doctor in Nebraska, look no further than Nebraska Hand and Shoulder Institute. We are committed to providing you with the best possible care for a wide variety of upper and lower extremity conditions.
References
Anderson, Bruce Carl, et al, “Treatment of de Quervain’s tenosynovitis with corticosteroids.” Arthritis and Rheumatism, Vol. 34, No. 7, July 1991, pp. 793-798.
Badalamente, M.A., “Pathobiology of the Human A1 Pulley in Trigger Finger.” The Journal of Hand Surery, Vol. 16A, 1991, pp. 714-721.
Bishop, A.T., “Extensor Triggering in de Quervain’s Stenosing Tenosynovitis.” The Journal of Hand Surgery. Vol. 24A, 1999, pp. 1311-1314.
Dinham, J.M., Meggitt, B.F., “Trigger thumbs in children: a review of the natural history and indications for treatment in 105 patients.” Journal of Bone and Joint Surgery, Vol. 56B, No 1, 1974, pp. 153-155.
Doyle, J.R., Blythe, W.F., “The finger flexor tendon sheath and pulley: anatomy and reconstruction.” AAOS Symposium on Tendon Surgery in the Hand, St. Louis, 1975. The C.B. Mosby Company, pp. 81-87.
Doyle, J.R., “Anatomy of the Flexor Tendon Sheath and Pulleys of the Thumb.”, The Journal of Hand Surgery, Vol. 2, 1977, pp. 149-151.
Eastwood, D.M., Gupta, K.J., Johnson, D.P., “Percutaneous Release of Trigger Finger: An Office Prodedure.” Journal of Hand Surgery, Vol. 17A, 1992, pp. 114-117.
Ezaki, M., “Trigger Finger in Children.”, The Journal of Hand Surgery, Vol. 24A, 1999, pp. 1156-1161.
Fulcher SM, Hill, J.J.; “An Analysis of Patients with Multiple Trigger Digits.” [Poster] 56th Annual Meeting of the American Society for Surgery of the Hand Oct. 4, 2001, Seattle, WA.
Gray, R.G. and Gottlieb, N.L., “Hand flexor tenosynovitis in rheumatoid arthritis: prevalence, distribution, and associated rheumatic features.” Arthritis and Rheumatism, Vol. 20, No. 4, 1970, pp. 103-108.
Griggs, S.M., “Treatment of Trigger Finger in Patients with Diabetes Mellitus.” The Journal of Hand Surgery, Vol. 20, 1995, pp. 787-789.
Harvey, Francis J., et al, “deQuervain’s disease: surgical and non-surgical treatment.” Journal of Hand Surgery, Vol. 15A, No. 1, January 1990, pp. 83-87. (Diagram 4).
Hoffmann, R., “Open Versus Percutaneous Release of the A1-Pulley for Stenosing Tendovaginitis: A Prospective Randomized Trial.”, Techniques in Hand & Upper Extremity Surgery, Vol. 12, 2008, pp. 183-187.
Hollander, J.L., et al, “Hydrocortisone and cortisone injected into arthritic joints, comparative effects of and use of the hydrocortisone as a local anti-arthritic.” JAMA, Vol. 147, 1951, pp. 1629-1635.
Jackson, W.T., et al, “Anatomical variations of the first extensor compartment of the wrist: a clinical and anatomical study.” Journal of Bone and Joint Surgery, Vol. 68A, No. 6, July 1986, pp. 923-926.
Lane, L.B., “Commentary: Percutaneous Release of the First Annular Pulley.” The Journal of Hand Surgery, Vol. 20, 1995, pp. 785-786.
Lapidus, P.W., “Stenosing tenovaginitis.” Surgical Clinics of North America, Vol. 33, 1953, pp. 1317*1347.
Lubahn, J., “Complications of Open Trigger Finger Release.”, The Journal of Hand Surgery, Vol. 35A, 2010, pp. 594-596.
Medl, W.T., “Tendonitis, tenosynovitis, trigger fingers, and deQuervain’s disease.” Orthopaedic Clinic of North America, Vol. 1, No. 2, 1970, pp. 375-382.
Otto, N., Wehby, M., et al, “Steroid injections for tenosynovitis in the hand.” Orthopaedic Review, Vol. 15, No. 5, May 1986.
Patel, M.R., Bassini, L., “Trigger fingers and thumb: when to splint, inject or operate” Journal of Hand Surgery Vol. 17A, No. 1, Jan. 1992, pp. 110-113.
Patel, M.R., “Percutaneous Release of Trigger Digit With and Without Cortisone Injection.” The Journal of Hand Surgery, Vol. 22A, 1997, 150-155.
Peimer, C.A., “Release of the Sixth Dorsal Compartment.” The Journal of Hand Surgery, Vol. 19A, 1994, pp. 599-601.
Pratt, H.L., Bunnell, S., “Use of compound F (hydrocortisone in op) in operative and non-operative conditions of the hand.” Journal of Bone and Joint Surgery, Vol. 35, 1953, pp. 94-102.
Roth, J.H., “Percutaneous A1 Pulley Release: A Cadaveric Study.” The Journal of Hand Surgery, Vol. 20A, 1995, 781-784.
Sampson, S.P., et al, “Pathobiology of human A-1 pulley in trigger finger.” Journal of Hand Surgery, Vol. 16A, 1991, pp. 714-721.
Tanaka, J., “Percutaneous Trigger Finger Release.”, Techniques in Hand and Upper Extremity Surgery, Vol. 3, 1999, pp. 52-57.
Weilby, A., “Trigger finger: incidence in children and adults and the possibility of a predisposition in certain age groups.” Acta Orthopaedics Scandinavia, Vol. 41, 1970, pp. 419-427.
Weiss, A.C., “Treatment of De Quervain’s Disease.” The Journal of Hand Surgery, Vol. 19A, 1994, pp. 595-598.
Witczak, J.W., “Triggering of the Thumb with de Quervain’s Stenosing Tendovaginitis.” The Journal of Hand Surgery, Vol. 15, 1990, pp. 265-268.
Witt,J. “Treatment of de Quervain Tenosynovitis: A Prospective Study of the Results of Injection of Steroids and Immobilization in a Splint.” Journal of Bone & Joint Surgery, Vol. 73, 1991, pp. 219-222
Woods, T.H.E., “deQuervain’s disease: a plea for early operation: a report on 40 cases.” British Journal of Surgery, Vol. 51, No. 5, May 1964, pp. 358-359.