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

Magtoto, Ian J; Sakamoto, Sotetsu; Hattori, Yasunori · J Hand Surg Eur Vol · 2026

case_series · Level IV

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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.<b>Level of Evidence:</b> Level IV.