Operative Note |
PROCEDURE: Trigger finger release from long finger of the left hand. |
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SUMMARY: The
patient was taken to the operating room and placed in the supine position on the operating table where, after adequate IV regional
anesthetic effect had been obtained, the left arm was prepped and draped in a sterile manner. A 1 cm long transverse incision
was made in line with the proximal palmar crease and carried by sharp dissection through the subcutaneous tissue. Blunt dissection
was used to expose the flexor tendon and the proximal edge of the A1 pulley. Using a #11 knife blade, the A1 pulley was incised
from proximal to distal. The finger was then put through a full range of motion with no triggering and I could see the small
bump on the flexor tendon appear and disappear, and there was no triggering. The wound was irrigated copiously with normal saline
and the incision closed with 4 interrupted simple sutures of 3-0 nylon. A sterile pressure dressing was placed over the hand,
and the tourniquet was deflated. The patient was awakened and returned to recovery in apparently good condition. Tourniquet
time was 30 minutes.
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