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

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

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Publication Details

Journal
Journal of Hand Surgery (European Volume)
Published
2026-07-01
DOI
https://doi.org/10.1177/17531934261460239
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
Field-Weighted Citation Impact
0.00
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article

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

Yasunori Hattori, Sotetsu Sakamoto, Ian Jason Magtoto
Journal of Hand Surgery (European Volume)
Orthopedic Surgery and Rehabilitation
article

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

Yasunori Hattori, Sotetsu Sakamoto, Ian Jason Magtoto
article en

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

Journal of Hand Surgery (European Volume)
Ogori Daiichi General Hospital (JP)
Openalex Percentile: Top 6%
Orthopedic Surgery and Rehabilitation
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