Trigger fingerTrigger thumbLong termResultDecompressionIntroduction Trigger finger and thumb are amongst the most common hand disabilities seen by orthopaedic surgeons. Surgical release of the first annular pulley (A1) is generally indicated when non-operative treatment fails. We present the long-term ...
(3 months) and long-term (2 years) outcomes between open surgical release and percutaneous needle release of trigger finger.Between 2009 and 2012, a total of 198 patients with trigger finger treated with either open (n=72) or percutaneous (n=126) release of the A1 pulley were enrolled in...
Injections were placed into the flexor tendon sheath through the A1 pulley angled 45° from proximal to distal with 1 mL of 40 mg/mL methylprednisolone acetate (Depo-Medrol) and 0.5 to 1.0 mL of 1% lidocaine. The primary Second injections Among the 284 patients who received second injections,...
mounted to the handle14. In one embodiment, the actuator30is generally planar or flat, having a generally delta-shape with a wider portion near the rear of the handle14. In one embodiment, the actuator30is wide enough to comfortably fit between the thumb and first finger of the catheter ...
In children, the disease usually presents with a remained finger in locked flexion, unlike the adults in whom triggering is more prevalent. The pathology of the disease includes locking of the tendon over A1 pulley. Some treatment modalities have been suggested to cure the trigger thumb, such ...
Additionally, the cable is wound around the tightening pulley approximately 10 times before reaching the termination point, which enhances the creep performance of the cable and improves the durability of the cable tension. This mechanism enables tighter cable adjustments with greater durability and ...