Release of the A1 Pulley for Trigger Finger Complicated by Flexor Tenosynovitis

Journal of Hand and Microsurgery

Joseph A. Ricci¹  Naman S. Desai¹  Nirav N. Parekh¹ 

[1] Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WACC 435, Boston, MA 02114 USA

关键词: A1 pulley;    Flexor tenosynovitis;    Operative release;    Trigger finger;   

DOI  :  10.1007/s12593-015-0171-9

学科分类：外科医学

来源: Thieme Medical and Scientific Publishers Pvt. Ltd.

【 摘 要 】

Trigger finger is one of the most common conditions presenting to hand surgeons today. Believed to be caused by inflammation and subsequent narrowing of the A1 pulley, patients with trigger finger often present with pain associated with clicking, catching, and loss of motion of the affected finger [1]. The incidence of primary trigger finger has been reported at between 2 and 3 % [1–3]. Although it can occur in anyone, it is seen more frequently in the diabetic population and in women, typically between the ages of 50 and 60-years old [1, 4]. The diagnosis is usually made in a straightforward manner by history and physical, however, other pathological processes such as fracture, or tumor should be excluded first. The mainstays of treatment are surgical release and more recently, corticosteroid injection [1, 4, 5].

【 授权许可】

Unknown