A1 pulley release of locked trigger digit by percutaneous technique

The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
M J ParkK I Ha

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.

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Citations

Jul 19, 2006·International Orthopaedics·Oguz CebesoyMustafa Isik
Apr 4, 2007·International Orthopaedics·Ismail Uras, Osman Yavuz
May 27, 2009·Current Reviews in Musculoskeletal Medicine·Al Hasan MakkoukSeth D Dodds
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Aug 17, 2010·The Journal of Hand Surgery, European Volume·A Zyluk, G Jagielski
Aug 6, 2011·The Journal of Hand Surgery, European Volume·N SalimN H M Haflah
Sep 9, 2008·Techniques in Hand & Upper Extremity Surgery·Ulf DierksMarcel F Meek
Dec 18, 2018·The Journal of Hand Surgery, European Volume·Midum JegalMin Jong Park
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Sep 9, 2006·Radiation Medicine·Noriaki SakamotoKazuro Sugimura
May 17, 2017·The Journal of Hand Surgery Asian-Pacific Volume·Hideyuki OtaHitoshi Hirata
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Sep 16, 2006·Techniques in Hand & Upper Extremity Surgery·Oguz Cebesoy
Jul 5, 2021·Journal of Orthopaedic Surgery and Research·Abbas AbdoliRabeah Sarram
Jul 27, 2021·Indian Journal of Orthopaedics·Angelika Maria SchwarzGloria Maria Hohenberger

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