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Trigger Finger Treatment by Ulnar Superficialis Slip Resection (U.S.S.R.)From the Institut de la Main, Clinique Jouvenet, Paris, France Correspondence: Dr Dominique LE VIET, MD, Consultant, Institut de la Main, Clinique Jouvenet, 6 Square Jouvenet, Paris 75016, France. Tel.: +33-1-42-15-42-20; fax: +33-1-42-15-40-01; E-mail: family.lv{at}noos.fr Surgical release of the A1 pulley for treatment of trigger finger normally produces excellent results. However, in patients with long-standing disease, there may be a persistent fixed flexion deformity of the proximal interphalangeal joint. This is sometimes due to a degenerative thickening of the flexor tendons and may be treated by resection of the ulnar slip of flexor digitorum superficialis tendon. One hundred seventy-two patients (228 fingers) who had undergone this procedure were reviewed at a mean follow-up of 66 months. Mean pre-operative fixed flexion deformity of the proximal interphalangeal joint was 33°. All but eight fingers were improved by surgery and there was an average gain of 26° in passive extension (7° residual fixed flexion deformity) of the proximal interphalangeal joint. Full extension was attained in 141 of the 228 fingers, and in all 101 fingers with a pre-operative loss of passive extension of 30° or less. This technique is indicated for patients with loss of passive extension in the proximal interphalangeal joint and a long history of triggering.
Key Words: trigger finger • extension deficit • flexor digitorum superficialis • ulnar slip • hemi-resection
Journal of Hand Surgery (British and European Volume), Vol. 29, No. 4,
368-373 (2004) This article has been cited by other articles:
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