* If you want to update the article please login/register
The research team hypothesizes that removal of the A1 pulley would result in reduced trigger finger recurrence rates, improved pain relief, reduced soreness, and stiffness, as well as increased final PROMs. In their cohort of 795 patients who underwent open trigger finger release, a recurrent trigger finger rate of 2. 6 percent was reported. 6. 4 Percent at 1 year and 0. 4 at 3 years, according to a retrospective review by Bruijnzeel et al. The entire A1 pulley and up to half of the A2 pulley can be released with no risk of bowstringing, according to two biomechanical studies. In the 61 patients tested, no difference in DASH scores, complication rates, or scar quality metrics was found between trigger finger release and longitudinal incision, with no difference between trigger finger or scar formation. a similar analysis was published by ultrasound on a transverse incision at the distal palmar crease, a transverse incision 2-3 mm distal to the distal palmar crease, and a longitudinal incision at the level of the A1 pulley. There are no studies to date that have investigated the benefits of complete A1 pulley resection in comparison to the A1 pulley's longitudinal release.
Source link: https://clinicaltrials.gov/ct2/show/NCT05251428
* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions