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A minimal invasive soft tissue release using adapted dental instrument Caver to grind the tip to be small knife. .Blade Probe A and Blade Probe B under local anesthesia ( Lidocaine 1% without adrenalin and wrist level tourniquet. Blade Probe Technique percutaneous trigger nger release is a treatment of choice for trigger nger or constrictive tenosynovitis of all severity with good outcome.Is is the Breakthrough for trigger nger or de Qeuvain disease. Since year 2000 up to 2011 19,698 trigger ngers(Up to March 2013 ) and more than 500 de Quervain disease were applied in Thailand by Dr.Vichai Vijitpornkul MD. From the advice of Dr.Li
The instruments have been developed and adjusted to serve all severities of trigger nger of any ngers with out limitations. The procedures was also developed to correct and prevent all pitfalls or drawbacks.as well as advices for post operation care to prevent adverse outcomes and fascilitate early movement and full recovery sooner. From the data of 19,698 trigger nger cases show statistically data of trigger nger I Thailand. In term of Sex prevalence .Finger Distribution. Age group e ected. Occupations or particular manual overuse activities. These data help in preventing this hand troubles in speci c groups ,speci c occupations or tasks of risk to be alert to minimize the problems in the future add quality of life of the working people. On this aspect mass trigger nger release projects were held monthly as a campaign to help people su ering from this hand trouble in all parts of Thailand. In form of mobile medical outreach services to trigger nger patients. .More than 100 events over 60 provinces all over Thailand by co operation with provincial red cross., Rotary Club inThailand .District 3350 Rotary International ,Sang Sai kee Foundation and Power Electric Authority of Thailand to treat trigger nger for free of charge at the same time give knowledge for prevention campaign on various aspects such as possible causes, signs and symptoms, treatment of choices, prevention from occupation and manual task risks.
The
most common hand trouble in working people who ever used their hands violently and repeatedly in daily manual work or hand activities. by painful and difficulty in hand movement in flexion and extension direction
Presented
Thickening of A1Pulley
19698 Fingers
SITES OF PUNCTURE