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Related Experiment Videos

Percutaneous release of trigger digits.

K I Ha1, M J Park, C W Ha

  • 1Department of Orthopaedic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Korea.

The Journal of Bone and Joint Surgery. British Volume
|March 14, 2001
PubMed
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A new percutaneous technique using a hooked knife effectively treats trigger finger, including locked cases. This safe outpatient procedure offers a high success rate with minimal complications for persistent or severe symptoms.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Minimally Invasive Procedures

Background:

  • Trigger finger, or stenosing tenosynovitis, affects the hand's tendons, causing pain and limited motion.
  • Conservative treatments often fail for longstanding or severe cases of trigger finger.
  • Surgical intervention is frequently required for persistent trigger finger symptoms.

Purpose of the Study:

  • To describe a novel, safe, and easy percutaneous technique for A1 pulley release in trigger finger.
  • To evaluate the efficacy and safety of this technique in a clinical setting.
  • To establish this method as a viable outpatient treatment option.

Main Methods:

  • A specially designed hooked-end knife was used for percutaneous A1 pulley sectioning.

Related Experiment Videos

  • The technique was applied to 185 trigger fingers, including 62 locked cases.
  • Patient outcomes and complications were prospectively assessed.

    • Main Results:

    • A satisfactory outcome was achieved in 173 out of 185 (93.5%) treated trigger fingers.
    • The percutaneous technique demonstrated a high success rate for both simple and locked trigger fingers.
    • No significant complications were reported during or after the procedure.

    Conclusions:

    • Percutaneous release of the A1 pulley with a hooked knife is a safe and effective treatment for trigger finger.
    • This minimally invasive outpatient procedure is recommended for patients unresponsive to conservative care or with severe symptoms.
    • The technique offers a high success rate and a favorable safety profile for trigger finger management.