J Hand Microsurg 2018; 10(03): 143-145
DOI: 10.1055/s-0038-1636832
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Epidermal Inclusion Cyst following Percutaneous Trigger Finger Release

Ting-Chien Tsai
1   Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan
,
Sheng-Pin Lo
1   Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan
2   Department of Orthopaedics, National Cheng Kung University Hospital, Tainan, Taiwan
,
Fang-Chieh Lien
1   Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan
› Author Affiliations
Further Information

Publication History

Received: 08 December 2017

Accepted after revision: 20 January 2018

Publication Date:
20 March 2018 (online)

Abstract

Epidermal inclusion cyst is a benign lesion that commonly occurs due to inclusion of epidermal cells into the dermal or deeper layers in a trauma event. Percutaneous release is a minimally invasive technique, and good surgical outcomes can be achieved. However, the percutaneous procedure is a puncture injury, and the epidermal inclusion cyst is reasonable to become a possible complication. In this article, we presented a case of trigger finger in left middle finger. The patient underwent percutaneous release as the treatment and a second percutaneous release 5 months later due to recurrence of the symptoms. An epidermal inclusion cyst was noted 5 months thereafter, and it was treated with excision. With this case, we need to be more aware of this possibility if a mass lesion without infection signs occurs in the released area and recommend sonography if there is a mass lesion a few months after the procedure.

 
  • References

  • 1 Shinomiya R, Sunagawa T, Nakashima Y, Yoshizuka M, Adachi N. Impact of corticosteroid injection site on the treatment success rate of trigger finger: a prospective study comparing ultrasound-guided true intra-sheath and true extra-sheath injections. Ultrasound Med Biol 2016; 42 (09) 2203-2208
  • 2 Dierks U, Hoffmann R, Meek MF. Open versus percutaneous release of the A1-pulley for stenosing tendovaginitis: a prospective randomized trial. Tech Hand Up Extrem Surg 2008; 12 (03) 183-187
  • 3 Ettinger RL, Manderson RD. Implantation keratinizing epidermoid cysts. A review and case history. Oral Surg Oral Med Oral Pathol 1973; 36 (02) 225-230
  • 4 Park HY, Sur YJ, Kim YV. Epidermal inclusion cyst after carpel tunnel release: a case report. J Wrist Surg 2016; 5 (01) 67-70
  • 5 Quinnell RC. Conservative management of trigger finger. Practitioner 1980; 224 1340 187-190
  • 6 Tang JB, Giddins G. Why and how to report surgeons’ levels of expertise. J Hand Surg Eur Vol 2016; 41 (04) 365-366
  • 7 Kanavel A. Infections of the hand: A Guide to the Surgical Treatment of Acute and Chronic Suppurative Processes in the Fingers, Hand, and Forearm. 7th ed.. Philadelphia, PA: Lea & Febiger; 1939: 277-280
  • 8 Sato ES, dos Santos JB, Belloti JC, Albertoni WM, Faloppa F. Percutaneous release of trigger fingers. Hand Clin 2014; 30 (01) 39-45
  • 9 Taylor SA, Osei DA, Jain S, Weiland AJ. Digital artery pseudoaneurysm following percutaneous trigger thumb release: a case report. J Bone Joint Surg Am 2012; 94 (02) e6
  • 10 Sreedharan S, Teoh LC, Chew WY. Neuroma of the radial digital nerve of the middle finger following trigger release. Hand Surg 2011; 16 (01) 95-97
  • 11 Foo TL. Caution against percutaneous trigger release in patients on anticoagulant. J Hand Surg Am 2011; 36 (09) 1566-1567
  • 12 Zhao JG, Kan SL, Zhao L. et al. Percutaneous first annular pulley release for trigger digits: a systematic review and meta-analysis of current evidence. J Hand Surg Am 2014; 39 (11) 2192-2202
  • 13 Jongjirasiri Y. The results of percutaneous release of trigger digits by using full handle knife 15 degrees: an anatomical hand surface landmark and clinical study. J Med Assoc Thai 2007; 90 (07) 1348-1355
  • 14 Schumacher HH, Ahmad T. Epidermal inclusion cyst after bacillus Calmette-Guerin vaccination. Plast Reconstr Surg 2005; 115 (05) 1449-1450