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Digital Artery Pseudoaneurysm Following Percutaneous Trigger Thumb ReleaseA Case Report

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Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Hand Surgery Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. E-mail address for S.A. Taylor: taylors@hss.edu
Investigation performed at Hospital for Special Surgery, New York, NY

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Jan 18;94(2):e6 1-4. doi: 10.2106/JBJS.K.00300
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Extract

Stenosing flexor tenosynovitis, or trigger finger, is among the most commonly encountered clinical problems treated by hand surgeons. Corticosteroid injection is the most accepted first-line therapy, with successful resolution of symptoms occurring in 61% of patients1-5. Traditionally, trigger fingers unsuccessfully treated with corticosteroid injections have been managed with open surgical release of the A1 pulley2,3,6,7. Some surgeons have recommended percutaneous release of the A1 pulley1,8-10. Two randomized controlled trials comparing open surgical release with percutaneous release showed equivalent clinical outcomes, but the percutaneous release group had reduced recovery time, fewer wound complications, and lower costs7,11. To our knowledge, no neurovascular complications with the percutaneous release technique have been previously reported in the literature; we report the case of a patient with an iatrogenic pseudoaneurysm of the digital artery during percutaneous trigger finger release (PTFR) surgery. The patient was informed that data concerning his case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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