The Treatment of Trigger Finger Using Longitudinal Incision

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Journal of the Korean Society for Surgery of the Hand 2002;7(2):179-182.
Published online June 1, 2002.

Hee-Gon Park, Won-Gyeong Park, Ki-Young Kim

Longitudinal Incision을 이용한 방아쇠 수지의 치료

박희곤, 박원경, 김기영

Abstract

The purpose of this study was to assess the result of trigger finger operation using longitudinal incision. There were 22 fingers, 7 patients were male and 15 patients were female. Involved fingers were 13 thumbs, 5 ring fingers, 3 middle fingers and 1 index finger. Age was varied between 26 years and 67 years old. 7 patients had Underlying disease. 3 patients had rheumatoid arthritis, 3 patients had diabetes mellitus and 1 patients had carpal tunnel syndrome. Traditional transverse incision for trigger finger’s operation had some problems, including incomplete release, vessel injury and digital nerve injury, etc. I want that this complication was decreased by using longitudinal incision for trigger finger operation. About 1cm longitudinal skin incision and dissection was made on the A1 pulley each finger. And then, identified the full length of A1 pulley. I cut the A1 pulley and partial removed. Routine skin suture and dressing was done. After mean follow up was 9.2 month, all 22 fingers were complete free of symptoms about triggering and locking. But 2 patient showed painful motion, and 1 patient showed some limitation of finger extension. There were no infection, hematoma and nerve injured. And also there was no persistent pain on incision site. All patient were satisfied with the treatment and their result. I think that the longitudinal incision of trigger finger treatment is a very effective procedure and convenient to surgeons and patients. It can be perfect cut the A1 pulley, It was very safe and there was no nerve and vessel injury.

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