Percutaneous vs. Open A-1 Pulley Release Surgery for Trigger Digit
Percutaneous A-1 Pulley Release
(regularly performed by Dr. Ichtertz)
![Two Diagrams of a Hand where the first is curved and the second is open](https://grand-island-ne.carpaltunnelrelief.net/wp-content/uploads/sites/11/2018/05/page-image-2.jpg)
This image depicts the needle needed to puncture the skin and release the A-1 pulley. This procedure may be performed the day of the patient's consultation.
![Two Diagrams of a Hand where the first is curved and the second is open](https://grand-island-ne.carpaltunnelrelief.net/wp-content/uploads/sites/11/2018/05/page-image-2.jpg)
This image depicts the small puncture wound after surgery is completed. The patient may return to work the same day with a Band-Aid covering the puncture wound.
![Trigger Finger Surgery on hand](https://grand-island-ne.carpaltunnelrelief.net/wp-content/uploads/sites/11/2018/09/P1011937.jpg)
![Trigger Finger Surgery](https://grand-island-ne.carpaltunnelrelief.net/wp-content/uploads/sites/11/2018/09/P1011938.jpg)
![Trigger Finger Surgery close up](https://grand-island-ne.carpaltunnelrelief.net/wp-content/uploads/sites/11/2018/09/P1011940.jpg)
Open A-1 Pulley Release
(The only option provided by many other surgeons)
![Two Diagrams of a Hand where the first is curved and the second is open](https://grand-island-ne.carpaltunnelrelief.net/wp-content/uploads/sites/11/2018/05/page-image-2.jpg)
This image depicts the incision needed to perform the open A-1 release. Note that the tendon sheath is still intact.
![Two Diagrams of a Hand where the first is curved and the second is open](https://grand-island-ne.carpaltunnelrelief.net/wp-content/uploads/sites/11/2018/05/page-image-2.jpg)
This image depicts the tendon sheath after it has been released. The forceps are showing how thick the sheath was over the tendon.