Endo view™ trigger thumb
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EndoView™ endoscopic treatment of trigger thumb. This minimally invasive treatment option for trigger thumb is a patent pending procedure and only available at the Fitzmaurice Hand Institute. Call 480 719-4750 or schedule online at Fitzhand.com
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Endo view™ trigger thumb
- 1. EndoView™ Endoscopic Trigger Thumb Release Michael J. Fitzmaurice MD, MS Minimally Invasive Hand & Peripheral Nerve Surgery Fitzhand.com
- 2. Trigger Thumb • Pulley at base of thumb becomes thick and constricting around tendon • Difficulty for tendon to pass through tight tunnel • Tendon becomes more irritated causing thickening and nodules • Increased resistance causes pain, snapping or locking sensations A1 pulley Tendon
- 4. Symptoms • Pain at base of thumb • Possible bump (nodule) at base of finger • Stiffness - particularly in morning • Snapping or locking sensation • More severe cases – requires reduction from other hand to unlock
- 5. Diagnosis • Physical exam & history • Ultrasound can assist in diagnosis and rule out other pathology • No need for x-ray
- 6. Options – non-operative • Splint • NSAIDS • Steroids (oral, injection) • Other non-op (acupuncture, chiropracti c) Some relief but have high recurrence rate – symptoms often return
- 7. Surgery • Open - Large incision and longer recovery • Endoscopic EndoView™ release • Minimal incision • Early motion immediately • Little to no pain • Dressing removed in 2 days • Early return to normal activity
- 8. EndoView™ Trigger Thumb Release Marked from MPJ crease
- 9. EndoView™ Trigger Thumb Release Release thickened pulley under direct visualization
- 10. EndoView™ Trigger Thumb Release Complete release of pulley Tendon visualized throughout procedure
- 11. EndoView™ Trigger Thumb Release
- 12. Minimal incision
- 13. Significantly decreased pain 0 1 2 3 4 5 6 7 8 9 10 Pre-op Post-op VAS pain EndoView™ endoscopic trigger thumb release
- 14. Michael J. Fitzmaurice, MD, MS • Minimally Invasive Hand & Peripheral Nerve Surgeon • Background in Biomedical Science (MS) • Inventor of EndoView™ endoscopic surgery procedures Fitzhand.com For appointment or questions: 480 719-4750 Or email office@Fitzhand.com Patients can also request an appointment or submit questions online
Editor's Notes
- Hazani R, HAND 2011 416-419Proximaledgeis .1 cm proximal to PPCavglength of a1 is .61 cmdistaledge of a1 is .5 cm distal to ppcppc - proxproxcreasedpc - distalproxcreasemakeincision for endotrigthumb 1 cm distal to PPC