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Journal of Case Reports
Extensor Triggering of Hand: A Rare Presentation and its Management

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Schiller Jos, Abdul Gafoor PM, Mahesh B, Rahul Mohan, Sajesh BS
Department of Orthopaedics, Baby Memorial Hospital, Calicut, Kerala, India. 
Corresponding Author:
Dr. Abdul Gafoor PM
Email: abdulgafoorpm@gmail.com 
Received: 25-MAR-2016 Accepted: 03-JUL-2016 Published Online: 05-JUL-2016
DOI: http://dx.doi.org/10.17659/01.2016.0073
Abstract
Trigger finger commonly refers to flexor tendon triggering which occurs due to pathologic changes in first annular pulley or the flexor tendons. Extensor triggering is a rare condition caused by disruption or laxity of the sagittal bands that stabilize the extensor digitorum communis tendon over the metacarpal head. Here we are reporting a rare case of a 14 year old girl who presented with four year history of acquired idiopathic extensor triggering of multiple fingers of both hands. Physiotherapy and other modalities of conservative management failed to prevent triggering, hence surgical correction by the Carroll tendon slip procedure was performed to centralize the extensor tendon. She underwent post-operative rehabilitation and three year follow up showed excellent response to the treatment.
Keywords : Hand, Metacarpal Bones, Physical Therapy Modalities, Tendons, Trigger Finger Disorder.
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