A comparative study of A1 pulley compliance

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A comparative study of A1 pulley compliance.

BACKGROUND Trigger finger is most common in the ring finger, but the reason for this is not known. We hypothesized that the compliance of the A1 pulley might be one of the factors responsible for this phenomenon. The purpose of this study was therefore to compare the compliance of the normal A1 pulley of the thumb, index, middle, ring and little fingers using human cadavers. METHODS Eight nor...

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Percutaneous A1 pulley release is being increasingly used as an alternative to open surgical release and injection of local steroids for the treatment of the trigger digit. In 31 cases (26 patients), a percutaneous release was performed with a 14-gauge intravenous catheter needle under local anaesthesia in the outpatient setting. We report a 97% successful release and only one case of incomplet...

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Percutaneous release of the A1 pulley: a cadaver study.

PURPOSE Percutaneous release of the A1 pulley has been used for treatment of trigger fingers with success. However, lack of direct visualization raises concerns about the completeness of the release and about potential injury to the tendons or neurovascular structures. The purpose of this study was to assess the efficacy and safety of percutaneous release of the A1 pulley in a cadaveric model u...

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ژورنال

عنوان ژورنال: Clinical Biomechanics

سال: 2010

ISSN: 0268-0033

DOI: 10.1016/j.clinbiomech.2010.02.010