Identification of the length and location of the A1 pulley combining palpation technique with palm landmarks: a cadaveric study.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
20 Dec 2023
20 Dec 2023
Historique:
received:
08
08
2023
accepted:
11
12
2023
medline:
22
12
2023
pubmed:
22
12
2023
entrez:
21
12
2023
Statut:
epublish
Résumé
Through anatomical morphology, to accumulate the relevant parameters of the A1 pulley of each adult finger. A total of 100 fingers were selected, dissected layer by layer, and the A1 pulley and neurovascular of each finger were observed. Measure the length of the A1 pulley, the distance between the needle knife insertion point and the proximal edge of A1 pulley, and the nerves and blood vessels on both sides. (1) The length of A1 pulleys of each finger is 6.18 ± 0.33 mm, 6.58 ± 0.73 mm, 5.98 ± 0.67 mm, 5.36 ± 1.08 mm, 5.63 ± 1.09 mm. (2) The distances between the needle knife entry point of each finger and the volar proper nerve of the ulnar finger are 7.00 ± 1.55 mm, 8.29 ± 1.46 mm, 5.10 ± 0.25 mm, 5.30 ± 0.24 mm, 0 mm; the distances from the volar proper nerve of the radial finger are 9.08 ± 0.87 mm, 4.70 ± 1.10 mm, 7.03 ± 0.72 mm, 6.81 ± 0.22 mm, 7.81 ± 0.57 mm. (3) The distances between the needle knife entry point of each finger and the proper volar artery of the ulnar finger are 10.40 ± 0.75 mm, 8.89 ± 0.53 mm, 6.35 ± 0.44 mm, 7.26 ± 0.16 mm, 0 mm, respectively; The distances from the volar proper artery of the radial finger are 8.75 ± 1.07 mm, 6.10 ± 0.35 mm, 11.44 ± 0.41 mm, 8.19 ± 0.60 mm, 9.78 ± 0.68 mm, respectively. The landmarks of the needle entry points are located at the position corresponding to the highest point of the metacarpal heads, except the tail finger. From the needle knife entry point to distal, cut the proximal edge of the A1 pulley longitudinally along the midline until the patient can flex autonomously, and pay attention to the distance between the two sides of 3.60-11.85 mm neurovascular bundle.
Identifiants
pubmed: 38129463
doi: 10.1038/s41598-023-49742-6
pii: 10.1038/s41598-023-49742-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
22801Subventions
Organisme : Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine
ID : ZYYCXTD-C-202003
Organisme : Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine
ID : ZYYCXTD-C-202003
Organisme : National Natural Science Foundation of China
ID : 82274669
Organisme : President Foundation of the Third Affiliated Hospital of Southern Medical University
ID : YP202210
Organisme : Sanming Project of Medicine in Shenzhen
ID : SZZYSM202108013
Informations de copyright
© 2023. The Author(s).
Références
Makkouk, A. H. et al. Trigger finger: etiology, evaluation, and treatment. Curr. Rev. Musculoskelet Med. 1(2), 92–96 (2008).
doi: 10.1007/s12178-007-9012-1
pubmed: 19468879
David, M., Rangaraju, M. & Raine, A. Acquired triggering of the fingers and thumb in adults. BMJ 359, j5285 (2017).
doi: 10.1136/bmj.j5285
pubmed: 29191846
Lunsford, D., Valdes, K. & Hengy, S. Conservative management of trigger finger: A systematic review. J. Hand Ther. 32, 212–221 (2019).
doi: 10.1016/j.jht.2017.10.016
pubmed: 29290504
Kuczmarski, A. S., Harris, A. P., Gil, J. A. & Weiss, A. P. C. Management of diabetic trigger finger. J. Hand Surg. Am. 44, 152–153 (2019).
doi: 10.1016/j.jhsa.2018.03.045
Ger, E., Kupcha, P. & Ger, D. The management of trigger thumb in children. J. Hand Surg. Am. 16, 944–947 (1991).
doi: 10.1016/S0363-5023(10)80165-0
pubmed: 1940179
Rodgers, W. B. & Waters, P. M. Incidence of trigger digits in newborns. J. Hand Surg. Am. 19, 364–368 (1994).
doi: 10.1016/0363-5023(94)90046-9
pubmed: 8056959
Kikuchi, N. & Ogino, T. Incidence and development of trigger thumb in children. J. Hand Surg. Am. 31(4), 541–543 (2006).
doi: 10.1016/j.jhsa.2005.12.024
pubmed: 16632044
Akhtar, S. et al. Management and referral for trigger finger/thumb. BMJ 331(7507), 30–33 (2005).
doi: 10.1136/bmj.331.7507.30
pubmed: 15994689
pmcid: 558536
Rojo-Manaute, J. M. et al. Percutaneous intrasheath ultrasonographically guided first annular pulley release: anatomic study of a new technique. J. Ultrasound Med. 29(11), 1517–1529 (2010).
doi: 10.7863/jum.2010.29.11.1517
pubmed: 20966463
Pan, M. et al. Ultrasound-guided percutaneous release of A1 pulley by using a needle knife: A prospective study of 41 cases. Front. Pharmacol. 10, 267 (2019).
doi: 10.3389/fphar.2019.00267
pubmed: 30971922
pmcid: 6444079
Zhong, W. X. et al. Morphometric study of percutaneous A1 pulley of thumb release. Sci. Rep. 12(1), 20944 (2022).
doi: 10.1038/s41598-022-24759-5
pubmed: 36470935
pmcid: 9722786
Sampson, S. P. et al. Pathobiology of the human A1 pulley in trigger finger. J. Hand Surg. Am. 16(4), 714–721 (1991).
doi: 10.1016/0363-5023(91)90200-U
pubmed: 1880372
Gillard, G. C. et al. The proteoglycan content and the axial periodicity of collagen in tendon. Biochem. J. 163(1), 145–151 (1977).
doi: 10.1042/bj1630145
pubmed: 869913
pmcid: 1164670
Gillard, G. C. et al. The influence of mechanical forces on the glycosaminoglycan content of the rabbit flexor digitorum profundus tendon. Connect Tissue Res. 7(1), 37–46 (1979).
doi: 10.3109/03008207909152351
pubmed: 158485
Sbernardori, M. C., Mazzarello, V. & Tranquilli-Leali, P. Scanning electron microscopic findings of the gliding surface of the A1 pulley in trigger fingers and thumbs. J. Hand Surg. Eur. 32(4), 384–387 (2007).
doi: 10.1016/J.JHSB.2007.01.013
Slesarenko, Y. A. et al. Percutaneous release of A1 pulley. Tech. Hand Up Extrem. Surg. 10(1), 54–56 (2006).
doi: 10.1097/00130911-200603000-00010
pubmed: 16628121
Eastwood, D. M., Gupta, K. J. & Johnson, D. P. Percutaneous release of the trigger finger: An office procedure. J. Hand Surg. Am. 17(1), 114–117 (1992).
doi: 10.1016/0363-5023(92)90125-9
pubmed: 1538091
Bain, G. I. et al. Percutaneous A1 pulley release: a cadaveric study. J Hand Surg Am 20(5), 781-784-785–786 (1995).
doi: 10.1016/S0363-5023(05)80430-7
Wilhelmi, B. J. et al. Trigger finger release with hand surface landmark ratios: An anatomic and clinical study. Plast. Reconstr. Surg. 108(4), 908–915 (2001).
doi: 10.1097/00006534-200109150-00014
pubmed: 11547146
Fiorini, H. J. et al. Anatomical study of the A1 pulley: Length and location by means of cutaneous landmarks on the palmar surface. J. Hand Surg. Am. 36(3), 464–468 (2011).
doi: 10.1016/j.jhsa.2010.11.045
pubmed: 21277697
Habbu, R., Putnam, M. D. & Adams, J. E. Percutaneous release of the A1 pulley: A cadaver study. J. Hand Surg. Am. 37(11), 2273–2277 (2012).
doi: 10.1016/j.jhsa.2012.08.019
pubmed: 23101524
Hazani, R. et al. Safe treatment of trigger thumb with longitudinal anatomic landmarks. Eplasty 10(57), 476–479 (2010).
Wilhelmi, B. J. et al. Safe treatment of trigger finger with longitudinal and transverse landmarks: An anatomic study of the border fingers for percutaneous release. Plast. Reconstr. Surg. 112(4), 993–999 (2003).
doi: 10.1097/01.PRS.0000076225.79854.F7
pubmed: 12973214
Lin, C. J. et al. Open versus percutaneous release for trigger digits: Reversal between short-term and long-term outcomes. J. Chin. Med. Assoc. 79(6), 340–344 (2016).
doi: 10.1016/j.jcma.2016.01.009
pubmed: 27025224
Lapidus, P. W. & Guidotti, F. P. Stenosing tenovaginitis of the wrist and fingers. Clin. Orthop. Relat. Res. 83, 87–90 (1972).
doi: 10.1097/00003086-197203000-00015
pubmed: 5014835
Thorpe, A. P. Results of surgery for trigger finger. J. Hand Surg. Br. 13(2), 199–201 (1988).
doi: 10.1016/0266-7681_88_90138-6
pubmed: 3385300
Hodgkinson, J. P. et al. Retrospective study of 120 trigger digits treated surgically. J. R. Coll. Surg. Edinb. 33(2), 88–90 (1988).
pubmed: 3418591
Bonnici, A. V. & Spencer, J. D. A survey of “trigger finger” in adults. J. Hand Surg. Br. 13(2), 202–203 (1988).
pubmed: 3385301
Turowski, G. A., Zdankiewicz, P. D. & Thomson, J. G. The results of surgical treatment of trigger finger. J. Hand Surg. Am. 22(1), 145–149 (1997).
doi: 10.1016/S0363-5023(05)80195-9
pubmed: 9018628
Pope, D. F. & Wolfe, S. W. Safety and efficacy of percutaneous trigger finger release. J. Hand Surg. Am. 20(2), 280–283 (1995).
doi: 10.1016/S0363-5023(05)80026-7
pubmed: 7775770
Park, M. J., Oh, I. & Ha, K. I. A1 pulley release of locked trigger digit by percutaneous technique. J. Hand Surg. Br. 29(5), 502–505 (2004).
doi: 10.1016/J.JHSB.2004.03.015
pubmed: 15336757
Yang, T. C. et al. Percutaneous A1 pulley release combined with finger splint for trigger finger with proximal interphalangeal joint flexion contracture. J. Hand Surg. Asian Pac. 24(3), 270–275 (2019).
doi: 10.1142/S2424835519500334
Nikolaou, V. S. et al. Comparative clinical study of ultrasound-guided A1 pulley release vs open surgical intervention in the treatment of trigger finger. World J. Orthop. 8(2), 163–169 (2017).
doi: 10.5312/wjo.v8.i2.163
pubmed: 28251067
pmcid: 5314146
Clark, D. D., Ricker, J. H. & MacCollum, M. S. The efficacy of local steroid injection in the treatment of stenosing tenovaginitis. Plast. Reconstr. Surg. 51(2), 179–180 (1973).
doi: 10.1097/00006534-197302000-00014
pubmed: 4683941