Overview
Many patients presents with a locking, or triggering, of the finger. The flexor tendons become ensared by the a1 pulley leading to a clicking.
If untreated, the finger can be stuck into the palm and require force to pull it out of the palm. We use steroidal injections at first to address the issue before proceeding to surgery.
Dr. Anup Patel Advantage
Dr. Anup Patel makes a small incision over the a1 pulley and uses precise dissection to protect important nerves and vessels to the operated finger.
The a1 pulley is fully released and the patient in the operating room is asked to move the finger to ensure no triggering persists.
Symptoms
- The finger clicks or locks when flexing it
- Pain over the a1 pulley
Causes
- Stenosis of the a1 pulley
Treatment
- Non-Surgical
- Steroidal injection
Surgical
- Release of the a1 pulley
Patient 1
50 year old executive chef at a renowned Indian restaurant comes from out of state for left long finger trigger finger. Patient undergoes successful release of the a1 pulley and back to cooking some of the most delicious Indian food on the planet.
Patient 2
52 year old retired NFL tight end presents as a tertiary opinion for left trigger thumb. Patient undergoes successful release of the a1 pulley and back to catching footballs at training camp.
Patient 3
44 year old hair dresser presents with left long finger trigger finger. She undergoes successful release of the a1 pulley and cutting hair in 2 weeks without any issues.
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Dr. Anup Patel
Dr. Anup Patel is a board-certified plastic and reconstructive surgeon trained in aesthetic, hand/upper extremity and reconstructive surgery. He completed his plastic and reconstructive surgery training at the premier Yale University followed by a hand and microsurgery fellowship at the New York University Institute of Reconstructive Plastic Surgery and Mount Sinai Department of Orthopedics. Dr. Patel received his MD and MBA from the Yale University School of Medicine and Yale University School of Management, respectively. He graduated as the valedictorian of his class at the University of Florida majoring in economics, biochemistry and molecular genetics and valedictorian of his high-school class at Lake Highland.
