title: Recalcitrant trigger finger managed with flexor digitorum superficialis resection.
abstract: Although trigger finger is a condition commonly treated by orthopedic surgeons, we have not found sufficient studies in the literature addressing the treatment of trigger finger that persists following A1 pulley release. We identified 12 fingers in 11 patients with symptoms of trigger finger following A1 pulley release who subsequently underwent resection of 1 or both slips of the flexor digitorum superficialis tendon. Ten patients (11 fingers) presented for follow-up at a mean of 21 months after surgery. All patients had resolution of their symptoms with a mean visual analog score of 1.5 and a mean DASH score of 17. Grip and pinch strength were comparable to the contralateral side. Mean total active range of motion of the affected digit was 252°. Resection of 1 or both slips of the flexor digitorum superficialis is an effective method for treatment of recalcitrant trigger finger.
authors.affiliation: Essex Orthopaedics & Optima Sports Medicine, Salem, New Hampshire 03079, USA. snhusain@yahoo.com
authors.forename: Sohail N
authors.initials: SN
authors.lastname: Husain
authors.forename: Sylvan E
authors.initials: SE
authors.lastname: Clarke
authors.forename: Glenn A
authors.initials: GA
authors.lastname: Buterbaugh
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Imbriglia
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005384:Finger Joint / Q000503:physiopathology / Q000601:surgery*; D006225:Hand; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D052582:Trigger Finger Disorder / Q000503:physiopathology / Q000601:surgery*