A1 pulley release of locked trigger digit by percutaneous technique

J Hand Surg Br. 2004 Oct;29(5):502-5. doi: 10.1016/j.jhsb.2004.03.015.


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.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Fingers / physiopathology
  • Fingers / surgery*
  • Humans
  • Male
  • Middle Aged
  • Orthopedic Procedures / instrumentation*
  • Orthopedic Procedures / methods*
  • Tendons / physiopathology
  • Tendons / surgery*
  • Treatment Outcome