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Histopathology of the A1 pulley in adult trigger fingers

Sbernardori, Maria Chiara and Bandiera, Pasquale (2007) Histopathology of the A1 pulley in adult trigger fingers. The Journal of Hand Surgery (European Volume), Vol. 32 (5), p. 556-559. eISSN 2043-6289. Article.

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DOI: 10.1016/j.jhse.2007.06.002

Abstract

The histopathology of the central parts of 40 A1 pulleys from adult patients with primary trigger fingers was studied using light and transmission electron microscopes and the findings were compared with those in a control series of 10 normal A1 pulleys. The evaluation of the normal A1 pulley revealed a bi-laminar structure. The deepest layer was composed of dense normal connective tissue. The outermost layer was formed by loose connective tissue. In trigger digits, it was possible to identify a tri-laminar structure. The deepest layer was composed of irregular connective tissue, formed by small collagen fibres and abundant extracellular matrix. A considerable amount of chondroid-metaplasia was present in this layer. The middle layer contained dense, normal connective tissue with some fibrocytes. The outermost layer was formed of loose connective tissue. In conclusion, there was an additional layer in the A1 pulley in pathological cases which was not present in normal pulleys.

Item Type:Article
ID Code:4538
Status:Published
Refereed:Yes
Uncontrolled Keywords:Histopathology, pulley, transmission electron microscope, trigger finger
Subjects:Area 05 - Scienze biologiche > BIO/16 Anatomia umana
Divisions:001 Università di Sassari > 01 Dipartimenti > Scienze biomediche
Publisher:Sage
eISSN:2043-6289
Deposited On:13 Sep 2010 10:26

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