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Trigger finger

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Stenosing tenosynovitis of flexor tendon Sheath

Fibro Cartilage metaplasia of A1 pulley leading to trilaminar structure of A1 pulley

Paediatric Trigger Thumb is due to thickening and degeneration of FPL by Collagen and Synovial proliferation 60% resolve by 2 years

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026

Core revision references: Miller's Review of Orthopaedics; Campbell's Operative Orthopaedics; Orthobullets. Current specialty guidelines are linked within individual notes where applicable.