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Related Experiment Video

Updated: Jun 28, 2026

Murine Flexor Tendon Injury and Repair Surgery

Murine Flexor Tendon Injury and Repair Surgery

Published on: September 19, 2016

Surgery for Pediatric Trigger Finger.

Scott H Kozin¹, Eugene Park¹, Dan A Zlotolow¹

¹Shriners Children's Philadelphia, Philadelphia, Pennsylvania.

JBJS Essential Surgical Techniques

|November 11, 2024

Summary

This summary is machine-generated.

Pediatric trigger finger (PTF) is best treated with surgery. Operative release of the A1 pulley and flexor digitorum superficialis (FDS) tendon slip excision offers a 97.1% resolution rate, significantly higher than nonoperative methods.

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Area of Science:

Hand surgery
Pediatric orthopedics
Musculoskeletal disorders

Background:

Pediatric trigger finger (PTF) is an uncommon condition affecting digits.
Nonoperative treatments like monitoring or splinting show low resolution rates (30%).
Splinting has not improved resolution rates in pediatric cases.

Purpose of the Study:

To demonstrate the surgical treatment of pediatric trigger finger.
To highlight the effectiveness of A1 pulley release and FDS slip excision.
To provide a predictable treatment for restoring digit motion and function.

Main Methods:

Surgical intervention involving A1 and A3 pulley release.
Excision of the ulnar slip of the flexor digitorum superficialis (FDS) tendon.
Utilizing general anesthesia, tourniquet control, loupe magnification, and neurovascular identification.

Main Results:

Operative intervention yields a high resolution rate of 97.1%.
This contrasts sharply with the 30.0% resolution rate for nonoperative treatments.
Combined A1 pulley release and FDS slip excision show a 91% success rate.

Conclusions:

Pediatric trigger finger can be safely and effectively treated surgically.
A1 pulley release combined with FDS slip excision provides predictable resolution.
This surgical approach restores normal motion and function to the affected digit.