Background
Trigger finger is a common disease among hand diseases. Percutaneous release is one of the simple method provides good cosmesis and effectiveness of A1 pulley release. Though it is a relative safe procedure, there still some complications may happen. Here we present the rare cases both from clinical and cadaveric cases with volar plate rupture after percutaneous release of A1 pulley for trigger finger.
Methods
From March 2017 to July 2020, 275 patients visited our department for releasing the trigger fingers were surveyed. Five trigger fingers percutaneous release were studies in cadaveric study. We review the presentations, mechanism, duration and the intraoperative findings of these patients present with volar plate ruptured.
Results
Among these patients, 2 patients referred from other medical clinics presented with complications of volar plate ruptured after percutaneous release of trigger finger. Consecutive salvage procedure with explore and repair of the volar plate joint was done. In cadaveric study, the volar plate was easier ruptured due to malposition and related to malpractice of physical examination before surgical release.
Conclusions
Though the percutaneous release of trigger finger is a relative safe intervention reported from literature, meticulous releasing with caution should be taken for preventing more serious complications. Here we present with the very first sequelae with volar plate ruptured both in clinical cases and cadaveric studies.