Preliminary Note
The procedure is demonstrated on the middle and ring fingers of the same hand. For didactic reasons, the individual steps are shown sometimes on one finger and sometimes on the other.
Anatomical orientation by palpation and marking of anatomical landmarks. Skin incision along the distal palmar crease directly over the A-1 pulley to be split. Sharp transection of the subcutis under bipolar coagulation of individual veins.
Guiding Structures:
- Distal palmar crease
- Flexor tendons
- Digital vessel/nerve bundle