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Journal of Hand Surgery (British and European Volume)
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Articles

A1 Pulley Release of Locked Trigger Digit by Percutaneous Technique

M. J. PARK
I. OH
K. I. HA

From the Department of Orthopaedic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Korea and Eulji University School of Medicine, Daejeon, South Korea

Correspondence: Dr Min Jong Park, Associate Professor, Department of Orthopaedic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Ku, Seoul 135-710, South Korea. Tel.: +822-34103506; fax: +822-34100061; E-mail: mjp{at}smc.samsung.co.kr

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.

Key Words: trigger digit • locked digit • percutaneous release

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 5, 502-505 (2004)
DOI: 10.1016/J.JHSB.2004.03.015
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