Stenosing tenosynovitis

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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