Kapandji I A
Clinique de l'Yvette, Longjumeau.
Ann Chir Main. 1983;2(3):281-2. doi: 10.1016/s0753-9053(83)80017-9.
When splitting a metacarpal pulley, a diagonal incision allows, after sliding its margins and suturing them, to restore a pulley larger than before. With a small counter incision, it is possible to have a yet larger one. It is a very proper way to treat a "trigger finger". A similar technique may be used in flexor tendons lacerations, which make possible the suture of both tendons. This technique permits the tenolysis with pulley reconstruction.