genortГений ортопедииGenij Ortopedii1028-44272542-131XЦЕНТР ИЛИЗАРОВА10.18019/1028-4427-2024-30-6-906-915GRPZUYgenort-3120Research ArticleОбзор литературыLiterature reviewСтенозирующий лигаментит пальцев кистиStenosing tenosynovitishttps://orcid.org/0000-0001-7456-6160КотельниковГ. П.KotelnikovG. P.

Геннадий Петрович Котельников — академик РАН, доктор медицинских наук, профессор, заведующий кафедрой

Самара

Gennady P. Kotelnikov — Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Head of the Department

Samara

kaf_travma@samsmu.ruhttps://orcid.org/0000-0002-6031-4824ПанкратовА. С.PankratovA. S.

Александр Сергеевич Панкратов — кандидат медицинских наук, доцент, доцент кафедры

Самара

Alexander S. Pankratov — Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department

Samara

a.s.pankratov@samsmu.ruhttps://orcid.org/0000-0003-3411-4172НиколаенкоА. Н.NikolaenkoA. N.

Андрей Николаевич Николаенко — доктор  медицинских наук, доцент, директор НИИ Бионики и персонифицированной медицины

Самара

Andrey N. Nikolaenko — Doctor of Medical Sciences, Associate Professor, Director of the Research Institute of Bionics and Personalised Medicine

Samara

nikolaenko.83@inbox.ruhttps://orcid.org/0009-0008-9562-6394БорисовА. П.BorisovA. P.

Александр Павлович Борисов — кандидат медицинских наук, доцент, главный специалист НИИ Бионики и персонифицированной медицины

Самара

Alexander P. Borisov — Candidate of Medical Sciences, Associate Professor, Chief Specialist of the Research Institute of Bionics and Personalised Medicine

Samara

dr_borisov71@mail.ruhttps://orcid.org/0009-0009-5320-5142КлючниковА. С.KlyuchnikovA. S.

Алексей Сергеевич Ключников — ординатор

Самара

Aleksey S. Klyuchnikov — resident of the Department

Samara

zif1111111@yandex.ruhttps://orcid.org/0000-0003-3246-4953ПискунВ. В.PiskunV. V.

Вячеслав Викторович Пискун — ординатор

Самара

Vyacheslav V. Piskun — resident of the Department

Samara

i@vpiskun.ruhttps://orcid.org/0000-0003-1770-965XКнязевН. А.KnyazevN. A.

Никита Алексеевич Князев — ординатор

Самара

Nikita A. Knyazev — resident of the Department

Samara

n.knyazev.bass@gmail.comhttps://orcid.org/0009-0008-2089-2604ЛюкшинД. В.LukshinD. V.

Денис Валерьевич Люкшин — студент

Самара

Denis V. Lyukshin — student

Samara

deniss2001@inbox.ruСамарский государственный медицинский университетРоссияSamara State Medical UniversityRussian Federation202419122024306906915Copyright © Котельников Г.П., Панкратов А.С., Николаенко А.Н., Борисов А.П., Ключников А.С., Пискун В.В., Князев Н.А., Люкшин Д.В., 20242024Котельников Г.П., Панкратов А.С., Николаенко А.Н., Борисов А.П., Ключников А.С., Пискун В.В., Князев Н.А., Люкшин Д.В.Kotelnikov G.P., Pankratov A.S., Nikolaenko A.N., Borisov A.P., Klyuchnikov A.S., Piskun V.V., Knyazev N.A., Lukshin D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ilizarov-journal.com/jour/article/view/3120Введение

Введение. Стенозирующий лигаментит пальцев кисти является распространенной причиной инвалидности руки. Несмотря на 174-летнюю историю изучения заболевания, тактика лечения и новые малоинвазивные подходы к оперативному вмешательству вызывают интерес исследователей всего мира.

Цель работы — на основании анализа российских и зарубежных литературных источников определить современное состояние проблемы лечения стенозирующего лигаментита.

Материалы и методы

Материалы и методы. Поиск научных публикаций осуществлен в поисковых системах PubMed, MedLine и eLibrary. Отобрано 70 источников, преимущественно за последние 10 лет.

Результаты и обсуждение

Результаты и обсуждение. Лечение стенозирующего лигаментита следует начинать в зависимости от стадии заболевания с учетом его продолжительности, наличия рецидивов или осложнений, сопутствующего состояния пациента. Консервативная терапия должна включать ортопедическую иммобилизацию сустава и/или инъекции кортикостероидов. Несмотря на то, что чрескожное рассечение кольцевидной связки малоинвазивно и имеет ряд преимуществ (меньшую травматизацию тканей, более короткое время восстановления, отсутствие болезненных рубцов), согласно данным большинства исследователей, предпочтительно использовать открытую лигаментотомию, которая способствует минимизации осложнений и рецидивов заболевания.

Заключение

Заключение. Эффективность консервативных методик при лечении стенозирующего лигаментита составляет от 47 до 93 %, хирургического вмешательства — 94–99 %. Хирургическое лечение показано при отсутствии результатов консервативного лечения. Оно является высокоэффективным, имеет малое количество осложнений и рецидивов.

Introduction Stenosing tenosynovitis or trigger finger is a common cause of hand disability. With the 174year history of the condition, treatment strategy and new minimally invasive surgical approaches are essential for researchers around the world.

The objective was to determine the current treatment options of the stenosing tenosynovitis using the Russian and foreign literature.

Material and methods The original literature search was conducted on key resources including Scientific Electronic Library (www.elibrary.ru), the National Library of Medicine (www.pubmed.org) and MedLine. Seventy contributions were identified published for the last 10 years.

Results and discussion Treatment of stenosing ligamentitis can be initiated depending on the stage of the disease, the duration, relapses or complications, comorbidities. Conservative orthopaedic treatment includes joint immobilization and/or corticosteroid injections. Although percutaneous dissection of the annular ligament is minimally invasive and has advantages of less tissue trauma, shorter recovery time, absence of painful scars open ligamentotomy can help to minimize complications and relapses of the disease.

Conclusion Conservative treatment of trigger finger is effective in 47 to 93 % and surgical procedures are practical in 94–99 %. Surgical treatment can be employed with failure of conservative treatment and has been shown to be effective and with a low rate of complications and relapses.

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The authors declare that there are no conflicts of interest present.