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. 2023 Sep 1;27(3):189-193.
doi: 10.1097/BTH.0000000000000436.

Single-Incision Endoscopic Trigger Finger Release

Cooper Tye  1 , Madeline Ford  2 , William F Pientka 2nd  1
Affiliations

Single-Incision Endoscopic Trigger Finger Release

Cooper Tye et al. Tech Hand Up Extrem Surg. .

Abstract

Trigger finger surgery is a commonly performed open procedure with known potential complications of infection, stiffness, pain, nerve injury, bowstringing, and incomplete release of the A1 pulley. We present a novel single-incision endoscopic trigger finger release technique that moves the incision from the palm to the palmar-digital crease, leading to less pain, scarring, and stiffness. We believe that this technique is technically simple, fast, and may decrease the risk of complications commonly encountered with open trigger finger release. Level of Evidence: Therapeutic IV.

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Conflict of interest statement

Conflicts of Interest and Source of Funding: W.F.P. is a consultant for MicroAire. For the remaining authors none were declared.

References

    1. Fiorini HJ, Tamaoki MJ, Lenza M, et al. Surgery for trigger finger. Cochrane Database Syst Rev. 2018;2:CD009860.
    1. Matthews A, Smith K, Read L, et al. Trigger finger: an overview of the treatment options. JAAPA. 2019;32:17–21.
    1. Kloeters O, Ulrich DJO, Bloemsma G, et al. Comparison of three different incision techniques in A1 pulley release on scar tissue formation and postoperative rehabilitation. Arch Orthop Trauma Surg. 2016;136:731–737.
    1. Koopman JE, Hundepool CA, Wouters RM, et al. Factors associated with self-reported pain and hand function following surgical A1 pulley release. J Hand Surg Eur Vol. 2022;47:734–741.
    1. Sampson SP, Badalamente MA, Hurst LC, et al. Pathobiology of the human A1 pulley in trigger finger. J Hand Surg Am. 1991;16:714–721.

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