"Fr\u00FChaufov\u00E1, Vladim\u00EDra" . . . "Ortopedie" . "Percutaneous A1 pulley release"@en . "N\u011Bmejc, Milan" . . "36213" . "11130" . . "Perkut\u00E1nn\u00ED discize poutka A1 lupav\u00E9ho prstu" . . "4"^^ . "3"^^ . "\u00DAvod: Diagn\u00F3za lupav\u00E9ho prstu je \u010Dast\u00E9 onemocn\u011Bn\u00ED, kter\u00E9 postihuje nej\u010Dast\u011Bji pacienty st\u0159edn\u00EDho v\u011Bku. Je d\u00E1no z\u00E1n\u011Btliv\u00FDm onemocn\u011Bn\u00EDm pochvy flexorov\u00E9 \u0161lachy v m\u00EDst\u011B zn\u00E1m\u00E9m jako poutko A1. Jako nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dina jsou uv\u00E1d\u011Bna mikrotraumata, pop\u0159\u00EDpad\u011B m\u016F\u017Ee souviset i s metabolick\u00FDm onemocn\u011Bn\u00EDm. Materi\u00E1l a metodika: V retrospektivn\u00ED studii bylo hodnoceno perkut\u00E1nn\u00ED uvoln\u011Bn\u00ED poutka A1 lupav\u00E9ho prstu, a to za pou\u017Eit\u00ED jehlov\u00E9 techniky. Bylo hodnoceno 210 prst\u016F u 180 pacient\u016F mezi roky 2008-2012. Soubor \u010Din\u00ED 123 mu\u017E\u016F a 87 \u017Een. Celkem 25 pacient\u016F m\u011Blo v\u00EDce\u010Detn\u00E9 posti\u017Een\u00ED. Posti\u017Eeno bylo 119 palc\u016F, 8 ukazov\u00E1\u010Dk\u016F, 29 prost\u0159edn\u00EDk\u016F, 47 prsten\u00ED\u010Dk\u016F a 7 mal\u00EDk\u016F. Pr\u016Fm\u011Brn\u00FD v\u011Bk pacient\u016F byl 53,3 roku. V\u00FDsledky: U 171 pacient\u016F bylo dosa\u017Eeno \u00FApln\u00E9 \u00FAlevy. Okam\u017Eit\u00E9ho efektu bez nutnosti dal\u0161\u00ED p\u00E9\u010De bylo dosa\u017Eeno u 142 pacient\u016F, u 29 pacient\u016F bylo nutno p\u0159istoupit k c\u00EDlen\u00E9 rehabilitaci a stav byl upraven do 5 t\u00FDdn\u016F. U 9 pacient\u016F byla indikov\u00E1na otev\u0159en\u00E1 revize. Diskuze: Perkut\u00E1nn\u00ED discize je standardn\u00ED metoda na na\u0161em pracovi\u0161ti a lze ji pou\u017E\u00EDt jako prvn\u00ED volbu p\u0159ed otev\u0159enou operac\u00ED. Z na\u0161eho pohledu se jedn\u00E1 o metodu bezpe\u010Dnou, rychlou, s minim\u00E1ln\u00EDm rizikem pro pacienta, kter\u00E1 umo\u017E\u0148uje pacient\u016Fm n\u00E1vrat do ka\u017Edodenn\u00ED \u010Dinnosti d\u0159\u00EDve ne\u017E otev\u0159en\u00E9 operace." . . . "Perkut\u00E1nn\u00ED discize poutka A1 lupav\u00E9ho prstu"@cs . "8" . "\u00DAvod: Diagn\u00F3za lupav\u00E9ho prstu je \u010Dast\u00E9 onemocn\u011Bn\u00ED, kter\u00E9 postihuje nej\u010Dast\u011Bji pacienty st\u0159edn\u00EDho v\u011Bku. Je d\u00E1no z\u00E1n\u011Btliv\u00FDm onemocn\u011Bn\u00EDm pochvy flexorov\u00E9 \u0161lachy v m\u00EDst\u011B zn\u00E1m\u00E9m jako poutko A1. Jako nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dina jsou uv\u00E1d\u011Bna mikrotraumata, pop\u0159\u00EDpad\u011B m\u016F\u017Ee souviset i s metabolick\u00FDm onemocn\u011Bn\u00EDm. Materi\u00E1l a metodika: V retrospektivn\u00ED studii bylo hodnoceno perkut\u00E1nn\u00ED uvoln\u011Bn\u00ED poutka A1 lupav\u00E9ho prstu, a to za pou\u017Eit\u00ED jehlov\u00E9 techniky. Bylo hodnoceno 210 prst\u016F u 180 pacient\u016F mezi roky 2008-2012. Soubor \u010Din\u00ED 123 mu\u017E\u016F a 87 \u017Een. Celkem 25 pacient\u016F m\u011Blo v\u00EDce\u010Detn\u00E9 posti\u017Een\u00ED. Posti\u017Eeno bylo 119 palc\u016F, 8 ukazov\u00E1\u010Dk\u016F, 29 prost\u0159edn\u00EDk\u016F, 47 prsten\u00ED\u010Dk\u016F a 7 mal\u00EDk\u016F. Pr\u016Fm\u011Brn\u00FD v\u011Bk pacient\u016F byl 53,3 roku. V\u00FDsledky: U 171 pacient\u016F bylo dosa\u017Eeno \u00FApln\u00E9 \u00FAlevy. Okam\u017Eit\u00E9ho efektu bez nutnosti dal\u0161\u00ED p\u00E9\u010De bylo dosa\u017Eeno u 142 pacient\u016F, u 29 pacient\u016F bylo nutno p\u0159istoupit k c\u00EDlen\u00E9 rehabilitaci a stav byl upraven do 5 t\u00FDdn\u016F. U 9 pacient\u016F byla indikov\u00E1na otev\u0159en\u00E1 revize. Diskuze: Perkut\u00E1nn\u00ED discize je standardn\u00ED metoda na na\u0161em pracovi\u0161ti a lze ji pou\u017E\u00EDt jako prvn\u00ED volbu p\u0159ed otev\u0159enou operac\u00ED. Z na\u0161eho pohledu se jedn\u00E1 o metodu bezpe\u010Dnou, rychlou, s minim\u00E1ln\u00EDm rizikem pro pacienta, kter\u00E1 umo\u017E\u0148uje pacient\u016Fm n\u00E1vrat do ka\u017Edodenn\u00ED \u010Dinnosti d\u0159\u00EDve ne\u017E otev\u0159en\u00E9 operace."@cs . "Perkut\u00E1nn\u00ED discize poutka A1 lupav\u00E9ho prstu" . "2"^^ . . "1802-1727" . "Percutaneous A1 pulley release"@en . . "Tr\u010D, Tom\u00E1\u0161" . "1" . "percutaneous discision; A1 pulley"@en . "RIV/00216208:11130/14:10293472!RIV15-MSM-11130___" . "RIV/00216208:11130/14:10293472" . "Perkut\u00E1nn\u00ED discize poutka A1 lupav\u00E9ho prstu"@cs . . "Introduction: Trigger finger is a common condition that affects mostly middle-aged patients. It results from an inflammatory disease of the flexor tendon sheath in place known as the A1 pulley. The most frequent cause are microtraumas, or it may be associated with a metabolic disease. Materials and methods: In a retrospective study we evaluated percutaneous A1 pulley releases, using the needle technique. We evaluated the outcomes of percutaneus A1 pulley release in the treatment of trigger finger digits in a retrospective study. In our study group we evaluated 210 digits in 180 patients between 2008-2012. There were 123 women and 87 men. 53 patients had percutaneus A1 release on more than one digit. The affected digit was the thumb in 120 patients, there were 8 index fingers, 25 middle fingers, 50 ring fingers and 7 little fingers. The average age of the patients was 58.3 years. Results: In 171 patients complete pain relief from and restoration of full of range motion was achieved. Immediate effects without further care were achieved in 142 patients, 29 patients had to undergo targeted rehabilitation, with their condition improving within 5 weeks. In 9 patients, an open revision surgery was necessary. Discussion: Percutaneous release is a standard method at our department and if indicated, we use it as the first choice method before open surgery. From our point of view the method of percutaneous discision A1 pulley is safe, fast-acting, with minimal risks for the patient and it allows the patients to return to his or her daily activities earlier than after an open surgery."@en . . . "I" . . . "CZ - \u010Cesk\u00E1 republika" . "[4144A0DFBB9D]" .