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J Hand Surg Br. 2004 Oct;29(5):502-5.

A1 pulley release of locked trigger digit by percutaneous technique.

Author information

1
Department of Orthopaedic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Korea. mjp@smc.samsung.co.kr

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.

PMID:
15336757
DOI:
10.1016/j.jhsb.2004.03.015
[Indexed for MEDLINE]

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