Stepwise surgical approach for triggering distal to the A2 pulley after A1 pulley release

Abstract

Persistent trigger finger distally to the A2 pulley after A1 pulley release is uncommon. We report five fingers in four patients successfully treated using a stepwise approach including A1 pulley release, ulnar flexor digitorum superficialis slip excision and flexor tenoplasty.

Level of Evidence: Level IV

Keywords

A2 pulley persistence recurrence tenoplasty trigger finger ulnar superficialis slip resection

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