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Challenge of the Week / Hand & Wrist / 11.08.19

woman with wrist or hand pain

Cropped shot of woman in sweater holding her wrist pain

A 12-year-old female patient has triggering of her long finger that has persisted despite nonoperative measures. The patient and her parents are ready to proceed with operative intervention. In addition to release of the A1 pulley, which of the following operative interventions will most likely be necessary?

 

Pediatric patients with trigger finger are treated with release of the A1 pulley and excision of a slip of the flexor digitorum superficialis.

 

 

Excision of a slip of the flexor digitorum superficialis should be performed after A1 pulley release in a pediatric patient with a trigger finger.

 

 

Release of the lumbrical is not routinely indicated in pediatric patients with a trigger finger.

 

 

 

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