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J Hand Microsurg 2023; 15(05): 388-394
DOI: 10.1055/s-0042-1749421
Surgical Technique

Surgical Treatment for Trigger Thumb Using a Radial Approach

Arkaphat Kosiyatrakul 
1   Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand
,
Suriya Luenam
1   Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand
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Abstract

The anatomy of the thumb flexor pulley system and surrounding structures differs from the fingers. The hand's positioning during trigger thumb release is troublesome. Iatrogenic radial digital nerve injuries of the thumb following opened or percutaneous A1 pulley release have been reported. We present the radial approach using a transverse incision for surgical release of the trigger thumb. This surgical approach aimed to restore a familiar surgical hand position, prevent radial digital nerve injury and bowstringing of the flexor pollicis longus, and decrease postoperative pain to facilitate recovery of hand function.

Keywords

A1 pulley release - radial approach - trigger thumb


Publication History

Article published online:
06 June 2022

© 2022. Society of Indian Hand Surgery & Microsurgeons. All rights reserved.

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