Trigger Finger Release Performed Wide Awake: Prospective Comparison of Local Anesthetics

Authors

Constantinos Ketonis, MD, PhD, Rothman Institute at Thomas Jefferson UniversityFollow
Nayoung Kim, BS, Rothman Institute at Thomas Jefferson UniversityFollow
Frederic Liss, MD, Rothman Institute at Thomas Jefferson University
Benjamin Zmistowski, MD, Rothman Institute of Orthopedics, Thomas Jefferson University HospitalFollow
Jonas L. Matzon, MD, Rothman Institute of Orthopedics, Thomas Jefferson University HospitalFollow
Charles Leinberry, MD, Rothman Institute at Thomas Jefferson UniversityFollow
Mark L. Wang, MD, PhD, Rothman Institute at Thomas Jefferson UniversityFollow
Christopher Jones, MD, Rothman Institute of Orthopedics, Thomas Jefferson University HospitalFollow
William Kirkpatrick, MD, Rothman Institute of Orthopedics, Thomas Jefferson University HospitalFollow
Asif M Ilyas, MD, Rothman Institute, Thomas Jefferson UniversityFollow

Document Type

Poster

Publication Date

3-25-2015

Comments

Poster presented at American Academy of Orthopaedic Surgeons in Las Vegas Nevada.

Abstract

Introduction:

Trigger fi­nger (TF) is one of the most common conditions treated by hand surgeons with a lifetime risk up to 10% in patients with diabetes. If conservative management fails, surgical treatment is undertaken, with or without sedation and a tourniquet, via a small incision to release the A1 pulley. A number of local anesthetics are readily available including Lidocaine, Ropivacaine and Marcaine as well as encapsulated formulations thereof such as Exparel. Since it’s approval in 2011, there have been numerous reports of successfully achieving prolonged pain relief with locally injected Exparel after various procedures, but to the best of our knowledge there have been no reports of its use in ambulatory hand surgery. In this study we prospectively evaluated the efficacy of Lidocaine, Marcaine, or bupivacaine with post-operative Exparel in controlling pain, opioid usage, and adverse reactions following TF surgery.

Recommended Citation

Ketonis, MD, PhD, Constantinos; Kim, BS, Nayoung; Liss, MD, Frederic; Zmistowski, MD, Benjamin; Matzon, MD, Jonas L.; Leinberry, MD, Charles; Wang, MD, PhD, Mark L.; Jones, MD, Christopher; Kirkpatrick, MD, William; and Ilyas, MD, Asif M, "Trigger Finger Release Performed Wide Awake: Prospective Comparison of Local Anesthetics" (2015). Rothman Institute Conference Posters. Paper 17.
https://jdc.jefferson.edu/rothinsposters/17