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

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

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
Trigger Finger Surgery
Trigger Finger Surgery close up

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

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

This image depicts the tendon sheath after it has been released. The forceps are showing how thick the sheath was over the tendon.

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