Nebraska’s Most Trusted Orthopaedic Treatment Center - Nebraska Hand and Shoulder Institute

At Nebraska Hand & Shoulder Institute, P.C, our dedicated orthopedic doctor and team work relentlessly to prevent and eliminate painful or debilitating conditions of the upper and lower extremities.

We have a strong dedication to patient education with regular updates on our brochures, video, and verbal instruction, backed by ongoing clinical outcome research. With three convenient locations across Nebraska, we provide a variety of services including fracture care, nerve entrapment treatments, sports injury management, and arthritis treatments.

As a leading orthopaedic treatment center in Nebraska, we specialize in a variety of medical practices, one of them being Trigger Digit treatments.

A diagram of the Tendons and Pulleys in a Hand

Nebraska Hand and Shoulder Institute's Specialty: Trigger Digit Treatments

Our team is skilled and experienced in treating Trigger Digit. This condition affects the tendons, rope-like extensions of muscles that glide in a defined channel and attach to bone to enable joint motion.

Two Diagrams of a Hand where the first is curved and the second is open

Understanding Trigger Digit

Trigger finger, first identified in 1850, is a common cause of hand pain in adults. Its typical symptoms include localized discomfort in the hand, tenderness, morning stiffness, and in advanced cases, snapping of the finger.

Treating Trigger Digit at Nebraska Hand and Shoulder Institute

At our orthopaedic treatment center, our experienced orthopedic surgeon believes in early intervention. Research shows that early treatment, such as cortisone injection, significantly improves the success rate of procedures. However, for patients with severe symptoms or those who have had symptoms for an extended period, minor surgery could be required.

Surgery for Trigger Digit at Nebraska Hand and Shoulder Institute

The dedicated orthopaedic surgeon at Nebraska Hand and Shoulder Institute, Dr. Ichtertz, performs an A-1 pulley release, a surgical procedure for Trigger Finger, as an outpatient service. This procedure involves minimal risk and is usually pain-free.

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A Diagram of Percutaneous Pulley Release
A diagram of a hand showing all of the flexor tendon pulleys


With our patient-focused approach, many of our patients recover without needing surgery. For those who do undergo surgery, the prognosis is typically very good.

Call us to schedule an appointment

If you're looking for an experienced orthopaedic surgeon or joint doctor in Nebraska, look no further than Nebraska Hand and Shoulder Institute. We are committed to providing you with the best possible care for a wide variety of upper and lower extremity conditions.


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