Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Distal stenosing tenosynovitis.

G M Rayan1

  • 1Hand Surgery Section/Orthopedic Surgery Department, University of Oklahoma Health Sciences Center, Oklahoma City.

The Journal of Hand Surgery
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Irreducible dislocation of the distal interphalangeal joint caused by long flexor tendon entrapment.

Orthopedics·2014
Same author

Porous-coated endoprosthesis in treatment of subcapital fractures.

Orthopedics·2014
Same author

Partial flexor tendon laceration: a cause of trigger finger.

Orthopedics·2014
Same author

Combined radiocarpal intercarpal arthrodesis.

Orthopedics·2014
Same author

"Trigger finger" secondary to partial rupture of the superficial flexor tendon.

Orthopedics·2014
Same author

Hand injuries during hand surgery: a survey of intraoperative sharp injuries of the hand among hand surgeons.

The Journal of hand surgery, European volume·2008
Same journal

Current Concepts in Perioperative Guidance and Outcomes in Hand Surgery Patients Taking Glucagon-Like Peptide-1 Receptor Agonists.

The Journal of hand surgery·2026
Same journal

Mesenchymal Stem Cell-Derived Exosomes Combined With 3-Dimensional Hyaluronan-Based Scaffold Promote Tendon-to-Bone Tunnel Healing.

The Journal of hand surgery·2026
Same journal

The Diagnosis and Management of Clenched Fist Syndrome.

The Journal of hand surgery·2026
Same journal

Ultrasound-Assisted Thin Posteromedial Thigh Free Flap for Coverage of Hand and Upper-Extremity Wounds.

The Journal of hand surgery·2026
Same journal

Comparison of One- and Two-knot Techniques in Eight-Strand Flexor Tendon Repair Using Looped Sutures: A Biomechanical Study in a Porcine Model.

The Journal of hand surgery·2026
Same journal

Biomechanical Comparison of Metal Versus Suture and Screw Tension Band Technique for Olecranon Fractures.

The Journal of hand surgery·2026
See all related articles

Distal stenosing tenosynovitis affecting the flexor digitorum profundus and A3 pulley improved with A3 pulley release. Overlooked proximal tenosynovitis can cause persistent symptoms after surgery.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Stenosing tenosynovitis, commonly known as trigger finger, affects the flexor tendons in the hand.
  • The A1 and A3 pulleys are critical structures that guide tendon movement.
  • Distal and proximal involvement can present with varying symptoms and surgical considerations.

Observation:

  • Three patients with distal stenosing tenosynovitis involving the flexor digitorum profundus and A3 pulley were studied.
  • One patient had isolated distal A3 pulley involvement.
  • Two patients presented with combined proximal (flexor digitorum superficialis, A1 pulley) and distal (A3 pulley) stenosing tenosynovitis.

Findings:

  • Surgical release of the A3 pulley led to symptom improvement in all four affected digits across the three patients.

Related Experiment Videos

  • When present, the A1 pulley was concurrently released with the A3 pulley.
  • The study highlights that proximal stenosing tenosynovitis can be associated with distal tenosynovitis.

    • Implications:

    • A3 pulley release is an effective treatment for distal stenosing tenosynovitis of the flexor digitorum profundus.
    • Failure to diagnose and treat concurrent proximal stenosing tenosynovitis may lead to persistent postoperative symptoms.
    • Comprehensive assessment for both proximal and distal pulley involvement is crucial for successful surgical outcomes in trigger finger.