Extensor Triggering of Hand: A Rare Presentation and its Management

Abstract

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.