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Related Experiment Videos

Percutaneous A1 pulley release for trigger digits.

T R Luan1, M C Chang, C F Lin

  • 1Department of Orthopedics and Traumatology, Veterans General Hospital-Taipei, Taiwan, ROC.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|March 4, 1999
PubMed
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Percutaneous A1 pulley release effectively treats trigger digits with a high success rate. This safe and convenient office procedure offers a reliable solution for digit pain and stiffness.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery

Background:

  • Percutaneous trigger digit release is a recently reported office procedure.
  • Previous studies suggest it is safe and effective for trigger digits.

Purpose of the Study:

  • To further assess the safety and efficacy of percutaneous A1 pulley release for trigger digits.

Main Methods:

  • Prospective study of 69 patients (71 primary trigger digits) treated with percutaneous A1 pulley release using a 19-gauge needle.
  • Patients were classified by age, sex, digit involved, symptom duration, and prior steroid injection history.

Main Results:

  • 63 digits (89%) were completely free of triggering.
  • No major complications occurred; minor complications included local tenderness (9 digits) and hematoma (6 digits).

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  • Success rate was not associated with patient demographics or symptom characteristics, though female gender and trigger thumb were risk factors for local tenderness.

    • Conclusions:

    • Percutaneous A1 pulley release is an effective, safe, and convenient treatment for trigger digits.
    • The procedure demonstrates a high success rate with minimal complications.