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Trigger Fingers Requiring Simultaneous Division of the A1 Pulley and the Proximal Part of the A2 Pulley

From the Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia

Correspondence: Prof. M.M. Al-Qattan, From the Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia, Tel.: +966 505274885, fax: +966 14679493. E-mail:moqattan{at}hotmail.com

In a prospective study of 50 adult patients with primary idiopathic trigger finger, four patients (8%) required simultaneous division of the proximal 3 to 4 mm of the A2 pulley as well as the A1 pulley in order to completely resolve the triggering. At final follow up at 6 to 12 months, all patients were symptom-free with a full range of motion of the fingers. This entity is discussed.

Key Words: trigger finger • distal trigger • flexor pulley

Journal of Hand Surgery (European Volume), Vol. 32, No. 5, 521-523 (2007)
DOI: 10.1016/J.JHSE.2007.03.009


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