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Updated: Jan 31, 2026

Murine Flexor Tendon Injury and Repair Surgery
Published on: September 19, 2016
Trigger finger secondary to a neglected flexor tendon rupture
Malrey Lee1, Young-Ran Jung2, Young-Keun Lee2
1The Research Center for Advanced Image and Information Technology, School of Electronics & Information Engineering, Chonbuk National University.
Secondary trigger finger from neglected partial flexor tendon rupture is uncommon. Surgical repair led to full motion and pain relief, highlighting the need for early exploration of hand injuries.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Trauma Surgery
Background:
- Secondary trigger finger is a rare condition, often resulting from hand trauma.
- Partial flexor tendon ruptures, particularly in zone 2, can lead to this condition.
- Clinical manifestations and optimal treatment strategies are not widely understood.
Purpose of the Study:
- To describe secondary trigger finger caused by neglected partial flexor tendon rupture.
- To discuss the underlying mechanism and effective treatment approaches.
- To evaluate surgical outcomes and patient recovery.
Main Methods:
- Retrospective review of 6 patients treated for trigger finger due to neglected partial flexor tendon rupture.
- Surgical intervention included exploration, debridement, and tendon repair.
- Functional outcomes assessed using Quick-Disabilities of the Arm, Shoulder, and Hand (DASH) and Visual Analogue Scale (VAS) for pain.
Main Results:
- Four patients had partial flexor digitorum profundus (FDP) rupture, three had partial flexor digitorum superficialis (FDS) rupture; two had combined ruptures.
- All patients achieved full range of motion with no recurrence of triggering.
- Average VAS pain scores decreased from 3.6 to 0.3; average Quick-DASH scores improved from 33.6 to 5.3.
Conclusions:
- Early surgical exploration is recommended for even seemingly simple puncture or laceration wounds in flexor zone 2.
- Prompt diagnosis and treatment of partial flexor tendon ruptures can prevent secondary trigger finger.
- Surgical repair offers favorable outcomes, restoring function and alleviating pain.
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