,Using a #15 blade, the A1 pulley was scored with the #15 blade and the Litter scissor was used to complete the release of the A1 pulley distally and proximally. 
,Using a # 15 blade , the A1 pulley was scored with the # 15 blade and the Litter scissor was used to complete the release of the A1 pulley distally and proximally .