Percutaneous A1 Pulley Release for Trigger Digit: Two Years' Experience with the Sonographically Assisted Percutaneous Release (SAPR) Technique

針對扳機指行經皮A1滑四釋放術：使用超音波引導之經皮釋放術的兩年經驗

邵崇榮(Chung-Jung Shao) ； 陳泰昌(Tai-Chang Chern) ； 鄭順騫(Shun-Chien Cheng) ； 沈柏銓(Po-Chuan Shen) ； 林啟禎(Chii-Jeng Lin) ； 楊俊佑(Chyun-Yu Yang) ； 林瑞模(Ruey-Mo Lin) ； 周一嗚(I-Ming Jou)

《Journal of Orthopaedic Surgery Taiwan》 21卷3期 (2004/09) Pp. 112-118

並列摘要

This prospective study was designed to test the sonographically assisted percutaneous release (SAPR) technique to release the Al pulley in trigger digits.
A series of 218 patients received 257 SAPR procedures between September 2001 and April 2003, and all patients were evaluated for immediate clinical results and complications. Of the 251 digits of 213 patients available for follow-up, pain was completely relieved in 241 digits (96.0%), and the other ten digits (4.0%) had improved remarkably. The mechanical problems were resolved in all digits. There were no significant complications and no recurrence during follow-up.
We conclude this new procedure allows the surgeon to avoid the inherent risks of traditional percutaneous release and achieve a high rate of success with minimal morbidity.

並列關鍵字

percutaneous pulley release ； trigger digit ； sonographically guided surgery