title: A1 pulley release of locked trigger digit by percutaneous technique.
abstract: We performed 118 percutaneous releases of the locked trigger digits in an office setting using a specially designed knife. Thirty-five digits were locked in flexion, 79 digits in extension and the remaining four were fixed in a semiflexed position. Successful percutaneous release was achieved for 107 digits (91%), with the remaining 11 digits requiring an open surgical procedure. Although there were no persistent triggering in 98 digits with a follow-up of at least 6 months, painful stiffness at the interphalangeal joints remained in ten digits despite of physical therapy. No neurovascular injury occurred. We suggest that a locked trigger digit can be successfully released with the percutaneous technique.
authors.affiliation: Department of Orthopaedic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Korea. mjp@smc.samsung.co.kr
authors.forename: M J
authors.initials: MJ
authors.lastname: Park
authors.forename: I
authors.initials: I
authors.lastname: Oh
authors.forename: K I
authors.initials: KI
authors.lastname: Ha
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005385:Fingers / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000295:instrumentation* / Q000379:methods*; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome