Ultrasound-guided percutaneous release of pulley in trigger finger: A curved needle technique

D. Singh, B. Chari
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引用次数: 0

Abstract

Thickened A1 pulley is the most common cause of trigger finger. The patient complains of snapping and locking of finger like a trigger as the gliding of the flexor tendon become harder through the thickened pulley during flexion and superadded development of nodule on the surface of the tendon proximal to pulley. In severe cases or failed conservative/steroid injection cases, real-time percutaneous release of pulley under ultrasound (US) guidance can be considered. The percutaneous pulley release is a minimally invasive procedure compared to open surgical release and more accurate than blind percutaneous release with overall minimal complications. The US-guided percutaneous A1 pulley release has been described in the literature and done by knife, straight needles, and acutely bent needles with variable results. We describe the curved needle technique of percutaneous pulley release. The curved needle technique for US-guided A1 pulley release is novel and has the advantage of easy maneuverability over acutely bent needle and minimal chances of complications. The cutting edge of the curved needle scores through the thickened pulley with effective release and easy maneuverability.
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超声引导下触发指皮带轮经皮释放:弯曲针技术
A1滑轮增厚是触发手指最常见的原因。患者抱怨手指像扳机一样折断和锁定,因为在屈曲过程中,屈肌腱通过增厚的滑轮的滑动变得更加困难,滑轮附近肌腱表面结节的过度生长。在严重病例或保守/类固醇注射失败的病例中,可以考虑在超声(US)指导下实时经皮释放滑轮。与开放式手术松解相比,经皮滑轮松解是一种微创手术,比盲式经皮松解更准确,总体并发症最小。文献中已经描述了US引导的经皮A1滑轮释放,并通过刀、直针和急弯针进行,结果各不相同。我们描述了经皮滑轮松解的曲针技术。用于US引导的A1滑轮释放的曲针技术是新颖的,并且具有比尖锐弯曲的针更容易操作和并发症的可能性最小的优点。弯针的刀刃穿透加厚滑轮,释放有效,操作方便。
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来源期刊
Journal of Arthroscopy and Joint Surgery
Journal of Arthroscopy and Joint Surgery Medicine-Orthopedics and Sports Medicine
CiteScore
0.60
自引率
0.00%
发文量
1
期刊介绍: Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.
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