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

J Hand Surg Eur Vol · Jul 01 2026 · Recent

Magtoto IJ, Sakamoto S, Hattori Y

Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Yamaguchi, Japan

Hand & Upper Extremity

SUMMARY — THE REDUCTIONPersistent trigger finger distal to A2 pulley after A1 release treated successfully with stepwise approach including ulnar flexor digitorum superficialis slip excision and flexor tenoplasty.
Abstract, as published

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.

Read the article: PubMed · Publisher (DOI)

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