This simple operations can be done without any special preparation in the office.
Fifty-two patients were treated by this method with good results. There were no inflammatory or functional complications. A few patients complained of pain over the area of the incision, but there were no complaints after three or four days.
I would like to insist upon the following few points. In no instance should the nodule be removed. The tendon is a very delicate structure which will not tolerate interference. The removing of the nodule provokes adhesions and sometimes causes rupture of the tendon. In almost any case, the simple incision of the osteofibrous canal is sufficient.
Many surgeons prefer the open method rather than the closed method; but, for this particular condition, I think that this method can be useful to surgeons who are well acquainted with the anatomy of the hand.
Copyright 1958 by The Journal of Bone and Joint Surgery, Incorporated