Objective: To assess the efficacy and safety of percutaneous release of A1 pulley with help of 18-gauge hypodermic needle.
Methodology: This prospective study was conducted in the department of trauma and orthopedics, Shalamar Medical and Dental College, Lahore from January 2017 to December 2018. All the patients of trigger digits including thumb were percutaneously released using 18 gauge hypodermic needle. All were followed at 2 weeks, 6 weeks and 4 months interval. At final follow up, patients were graded according to Quinnells criteria.
Results: Out of 90 patients,75(83%) were female and 15(17%) male with and 118 digits Mean age was 65 years ((range 28-80). Ring finger was most commonly involved followed by thumb, middle finger, little finger and index finger. Results showed that 93% digits achieved excellent or good results. Eight patients (6%) had persistent triggering; six of them required open release. There was no digital nerve and tendon injury.
Conclusion: Percutaneous release of trigger digit is a safe, well torated and cost-effective procedure. We recommend it as a treatment of choice, which can be done under local anesthesia in many patients.
Key words: Stenosing tenosynovitis, A1 pulley, lefxor tendon, subcutaneous release.
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