Area of Focus: Hand & Wrist

Using cadaveric dissection, highlights the relevant surgical anatomy of stenosing tenosynovitis including the digital flexor sheath and the structures that are at risk during surgery. The author demonstrates his technique of steroid injection into the flexor sheath, his technique of open surgical release of the A1 pulley both in a digit and in a thumb under local anesthesia, and a safe technique for release and confirming adequate release. Discusses postoperative protocol and complications.