RT Journal
A1 Taylor, Samuel A.
A1 Osei, Daniel A.
A1 Jain, Sapna
A1 Weiland, Andrew J.
T1 Digital Artery Pseudoaneurysm Following Percutaneous Trigger Thumb ReleaseA Case Report
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2012
FD January 18
VO 94
IS 2
SP e6 1
OP 4
DO 10.2106/JBJS.K.00300
UL http://dx.doi.org/10.2106/JBJS.K.00300
AB 
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.