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Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study

Trigger finger is one of the most common causes of disability and pain in the hand. Current surgical techniques for trigger finger release fall short in that they are performed blindly with trauma to, or require incision of, the palmar fascia, which can be a source of significant and long-lasting mo...

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Autores principales: Brown, Ashley M., DellaMaggiora, Ryan J., Tsai, Eugene Y., Kulber, David A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787330/
https://www.ncbi.nlm.nih.gov/pubmed/33425606
http://dx.doi.org/10.1097/GOX.0000000000003294
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author Brown, Ashley M.
DellaMaggiora, Ryan J.
Tsai, Eugene Y.
Kulber, David A.
author_facet Brown, Ashley M.
DellaMaggiora, Ryan J.
Tsai, Eugene Y.
Kulber, David A.
author_sort Brown, Ashley M.
collection PubMed
description Trigger finger is one of the most common causes of disability and pain in the hand. Current surgical techniques for trigger finger release fall short in that they are performed blindly with trauma to, or require incision of, the palmar fascia, which can be a source of significant and long-lasting morbidity. Retrograde endoscopic release of the A1 pulley was performed through a single incision at the proximal digital crease in cadaveric specimens. The fingers were then dissected to assess for completeness of release and inspected for injury to nearby structures. Complete release of the A1 pulley was noted in 16 of 16 fingers. No significant injuries to the A2 pulley and flexor tendon were found, and no injuries to the digital nerves or vasculature occurred. The described technique, as demonstrated in cadaveric specimens, is a feasible alternative approach in the treatment of trigger finger. The technique allows complete visualization of A1 pulley release through a single palmar fascia sparing incision.
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spelling pubmed-77873302021-01-07 Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study Brown, Ashley M. DellaMaggiora, Ryan J. Tsai, Eugene Y. Kulber, David A. Plast Reconstr Surg Glob Open Hand/Peripheral Nerve Trigger finger is one of the most common causes of disability and pain in the hand. Current surgical techniques for trigger finger release fall short in that they are performed blindly with trauma to, or require incision of, the palmar fascia, which can be a source of significant and long-lasting morbidity. Retrograde endoscopic release of the A1 pulley was performed through a single incision at the proximal digital crease in cadaveric specimens. The fingers were then dissected to assess for completeness of release and inspected for injury to nearby structures. Complete release of the A1 pulley was noted in 16 of 16 fingers. No significant injuries to the A2 pulley and flexor tendon were found, and no injuries to the digital nerves or vasculature occurred. The described technique, as demonstrated in cadaveric specimens, is a feasible alternative approach in the treatment of trigger finger. The technique allows complete visualization of A1 pulley release through a single palmar fascia sparing incision. Lippincott Williams & Wilkins 2020-12-21 /pmc/articles/PMC7787330/ /pubmed/33425606 http://dx.doi.org/10.1097/GOX.0000000000003294 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Hand/Peripheral Nerve
Brown, Ashley M.
DellaMaggiora, Ryan J.
Tsai, Eugene Y.
Kulber, David A.
Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study
title Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study
title_full Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study
title_fullStr Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study
title_full_unstemmed Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study
title_short Endoscopic Retrograde Approach for Trigger Finger Release: A Cadaver Study
title_sort endoscopic retrograde approach for trigger finger release: a cadaver study
topic Hand/Peripheral Nerve
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787330/
https://www.ncbi.nlm.nih.gov/pubmed/33425606
http://dx.doi.org/10.1097/GOX.0000000000003294
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