Open AccessTrigger Digit Incidence After Carpal Tunnel Release: Reconstruction in Elongated Position Versus Traditional Carpal Tunnel Release
Author(s) -
Ignacio Esteban-Feliu,
Irene Gallardo-Calero,
Sergi BarreraOchoa,
Núria Vidal-Tarrasón,
Jorge H. Núñez,
Alex Lluch-Bergadà
Publication year - 2019
Publication title -
hand
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.722
H-Index - 35
eISSN - 1558-9455
pISSN - 1558-9447
DOI - 10.1177/1558944719893055
Subject(s) - retinaculum , carpal tunnel syndrome , medicine , carpal tunnel release , numerical digit , surgery , incidence (geometry) , complication , endoscopic carpal tunnel release , position (finance) , wrist , physics , arithmetic , mathematics , finance , optics , economics
Background: The development of trigger digit after carpal tunnel syndrome release surgery has been widely reported. Lluch described reconstruction of the flexor retinaculum in elongated position to prevent such complication. Methods: We conducted a retrospective review to determine whether patients who undergo reconstruction in elongated position of the flexor retinaculum have a lower incidence of trigger digit postoperatively. In total, 1050 patients were included, 865 of whom had undergone traditional carpal tunnel release and 185 flexor retinaculum reconstruction. Results: No differences were found in the incidence of trigger digit after surgery (8.7% of the patients who underwent traditional release vs 11.9% in the reconstruction group). Neither difference was found when comparing mean time with the development of trigger digit. Conclusions: In the absence of randomized long-term studies comparing traditional release and reconstruction in elongated position after carpal tunnel release, given our results, we see no reason to favor reconstruction over standard carpal tunnel release as a means to prevent postoperative triggering of digits.