SO SÁNH KẾT QUẢ ĐIỀU TRỊ NGÓN TAY CÒ SÚNG BẰNG PHƯƠNG PHÁP CAN THIỆP TỐI THIỂU QUA DA VÀ MỔ MỞ

Abstract

Background: Trigger finger is a common condition, affecting 10-16% of fingers, and is a condition of flexor tendonitis or flexor tendon sheath disease. Trigger finger pain is treated with minimally invasive and very effective methods and is often widely used. Objective: To describe the clinical and ultrasound characteristics of trigger finger in the minimally invasive percutaneous intervention and open surgery groups. Compare the treatment results of trigger finger by minimally invasive percutaneous intervention and open surgery. Materials and methods: Cohort study on 99 patients diagnosed with trigger finger, divided into 2 groups at Can Tho University of Medicine and Pharmacy Hospital from June 2023 to March 2025. Results: The disease was common in middle age, often in women, in the thumb. Clinically, the pain level (VAS score) in groups A and B were 7.00 ± 0.677 and 7.12 ± 0.718, respectively. Small masses were palpable in all cases (100%). Ultrasound of peritendinous fluid in group A accounted for 40.8%, group B 48%; the thickness of the A1 pulley in group A was 1.304 ± 0.484, group B 1.410 ± 0.419. The pain level (VAS score), after 1 week, group A was 1.47 ± 0.649, group B was 2.10 ± 0.763, the difference was statistically significant. VAS assessment in the following weeks showed no difference between the two groups. Conclusion: Both minimally invasive and open surgical treatments for trigger finger have shown good results. However, minimally invasive treatments with 18-gauge needles have been shown to result in less postoperative pain and less scarring.