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Journal of Hand Surgery (European Volume)
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Historical Article

Triggering at the Distal A2 Pulley

M. NAGAOKA
T. YAMAGUCHI
S. NAGAO

From the Orthopaedic Department, Surugadai Nihon University Hospital, Tokyo, Japan

Correspondence: Masahiro Nagaoka, Orthopaedic Department, Surugadai Nihon University Hospital, 1-8-13 Kanda Surugadai, Chiyoda-ku, Tokyo 101-8309, Japan. Tel.: +81 3 3293 1711; fax: +81 3 3292 0307. E-mail:mnagaoka{at}mub.biglobe.ne.jp

We report two cases with triggering at the distal end of the A2 pulley. One was caused by enlargement of the flexor digitorum profundus (FDP) tendon and the other by enlargement of both slips of the flexor digitorum superficialis (FDS) tendon. Both were relieved by reduction tenoplasty and short releases, or venting, of the distal A2 pulley.

Key Words: trigger finger • A2 pulley • tenosynovitis • tendon

Journal of Hand Surgery (European Volume), Vol. 32, No. 2, 210-213 (2007)
DOI: 10.1016/J.JHSB.2006.11.004
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