Interest of Open Surgical Treatment in Trigger Fingers Resistant to Corticosteroid Injections (About 20 Cases)

Background : The aim of this study is to draw up the epidemiological profile of our patients, to estimate our results of the open resection of A - 1 pulley and to show the interest of the surgical treatment in trigger fingers which are resistant to corticosteroid injections. Methods : It is a retrospective study made through the analysis of 20 exploitable files among several cases of trigger fingers, between January 2003 and October 2015. We included in our study patients aged of more than 18 years old, having symptoms dating of 6 months at least, and who have already benefited from at least one corticosteroid injection. Results: All our patients benefited initially from one or two injections. The use of surgery was indicated in the persistence of symptoms. The criteria of evaluation included the size of the skin incision, the pain, the residu al symptoms, the satisfaction and the complications. The opening of the pulley A1 was done in all the patient cases, coupled with the premature active and passive mobilization, this was successful in all cases with satisfying Quick DASH score achieved afte r 3 months and 6 months postoperatively. Conclusion : The resection of A - 1 pulley gives good results with an unimportant rate of complications and the surgical indication seems to be accepted when the symptoms persist after medical treatment by corticostero id injection.