Unique skin findings in a case of the A3 pulley trigger finger due to an osteochondroma

Takuya Yabumoto; Takeshi Endo; Ryo Itoga; Daisuke Kawamura; Yuichiro Matsui1; 2; Norimasa Iwasaki

doi:10.52312/jdrs.2023.1046

Takuya Yabumoto¹, Takeshi Endo¹, Ryo Itoga¹, Daisuke Kawamura¹, Yuichiro Matsui^1,2, Norimasa Iwasaki¹

¹Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan
²Faculty of Dental Medicine, Hokkaido University, Sapporo, Hokkaido, Japan

Keywords: Finger joint, osteochondroma, snapping fingers, trigger finger disorder.

Abstract

Trigger finger is usually caused by stenosing tenosynovitis and hypertrophy of the retinacular sheath, and the most common site of tendon triggering is the A1 pulley. Although the A3 pulley trigger finger has been described in a few cases caused by hypertrophy of the retinacular sheath and ganglion, associated skin findings have not been reported to date. Herein, we report a rare case of the A3 pulley trigger finger due to osteochondroma with unique skin findings in a 50-year-old woman. In this case, we observed a V-shaped skin depression on the palmar side of the proximal interphalangeal joint of the right middle finger during finger locking. Additionally, we observed bilateral linear skin depressions on the sides of the proximal phalange. These findings might be caused by the traction force on the A3 pulley, connected to the skin via the Grayson and Cleland ligaments, which are fibrous tissues that connect the skin and tendon sheath.

Citation: Yabumoto T, Endo T, Itoga R, Kawamura D, Matsui Y, Iwasaki N. Unique skin findings in a case of the A3 pulley trigger finger due to an osteochondroma. Jt Dis Relat Surg 2024;35(1):249- 253. doi: 10.52312/jdrs.2023.1046

Informed Consent

A written informed consent was obtained from the patient.

Author Contributions

Idea/concept: T.Y., T.E.; Control/ supervision: D.K., Y.M, N.I.; Data collection and/or processing: T.Y., T.E., R.I.; Literature review, writing the article: T.Y., T.E.; Critical review: D.K., R.I., Y.M., N.I.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.

Data Sharing Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.