Reduction flexor tenoplasty. Treatment of stenosing flexor tenosynovitis distal to the first pulley.

Trigger finger due to stenosing flexor tenosynovitis distal to the first annular pulley is not a common finding; however, when present, it introduces a diagnostic and therapeutic challenge. Resection of the second annular pulley for release of triggering at this level may leave the patient with impaired function. The pulley can be preserved by removing an elliptical portion of the center of the tendon through a lateral incision.