Lateral Band Research Articles

Cleft Palate-Lateral Synechiae Syndrome: A Case Report

AbstractLateral synechiae (LS) are fibrous bands extending from the cleft edges to the lateral edges of the tongue. The etiology of LS is still not clear, and although they are rare, they usually coexist with cleft lip palate and other congenital anomalies. In this study, we report a case of cleft palate-lateral synechiae syndrome. In this case, the lateral synechia bands were cauterized and the patient was able to open the jaw fully. Although LS is rare, medical practitioners should have awareness regarding it so that appropriate treatment protocol can be formulated for the patients.

Body Mass Index Is Associated With Orbital Pulley Degeneration Syndrome, Including Sagging Eye Syndrome

Sagging eye syndrome (SES), esotropia with high myopia including heavy eye syndrome, and age-related esotropia (ARE)-collectively termed orbital pulley degeneration syndrome (OPDS)-are characterized by strabismus with orbital pulley lateral rectus-superior rectus band impairment. Herein, we examined body mass index (BMI) in OPDS to determine SES-associated anthropometric characteristics. Retrospective cohort study. We compiled and analyzed the BMI of patients aged ≥50 years who underwent strabismus surgery at a single center in Shizuoka, Japan, between July 2020 and March 2023. BMI (kg/m2) was categorized into 4 groups: <18.5, 18.5 to 21.9, 22 to 24.9, and ≥25. As the boundary between OPDS and SES is ambiguous, we assumed a pure SES group by excluding patients with ARE and esotropia with high myopia from the OPDS group. Overall, 204 patients (age: 67.7 ± 9.7 years) were included in the study. There were 78/126 and 49/119 patients in the OPDS/non-OPDS and SES/non-SES groups (age: 70.4 ± 9.5/66.0 ± 9.6 years, P = .002 and 75.0 ± 6.0/66.6 ± 9.5 years, P < .001; BMI: 21.2 ± 3.3/23.2 ± 3.0 kg/m2, P < .001 and 21.2 ± 3.3/23.1 ± 3.0 kg/m2, P = .003), respectively. In the BMI-stratified analysis, OPDS and SES were more prevalent in the <18.5 BMI group than in the 22 to 24.9 and ≥25 BMI groups (P < .001 and P = .006, respectively). Logistic regression analysis, adjusted for age and sex, showed that lower BMI was associated with a higher prevalence of OPDS and SES. Patients with OPDS, including SES, had lower BMI than other patients with strabismus. Therefore, BMI may be a clinical clue to SES.

Effect of Sclerosis Bands in Femoral Head Necrosis on Non-Vascularized Fibular Grafting-A Finite Element Study.

Femoral head necrosis is a challenging condition in orthopaedics, and the occurrence of collapse is an important factor affecting the prognosis of femoral head necrosis. Sclerosis bands are known to influence the collapse of the femoral head, yet there is a lack of research on the biomechanical role of sclerosis bands in non-vascularized fibular grafting surgery. This study aims to evaluate the biomechanical impact of sclerosis bands in femoral head necrosis and their role in non-vascularized fibular grafting surgery (NVFG) using finite element analysis. We constructed 11 finite element models based on CT scan data of a normal hip joint, simulating different sclerosis band thicknesses and defect scenarios. The models were analyzed for changes in femoral head displacement and von Mises stress. We constructed a hip joint model based on CT data from a normal hip joint, and after reconstruction, assembly, and optimization using 3-matic. We created five groups consisting of 11 finite element analysis models of the hip joint. Mesh partitioning and mechanical parameter settings were performed in ANSYS. The changes and differences in femoral head displacement and von Mises stress of these models were analyzed. Increasing sclerosis band thickness led to reduced peak displacement of the femoral head by 28.6%, 42.9%, and 47.6%, and increased surface von Mises stress by 28.3%, 13.8%, and 13.0%, respectively. Post-surgery, peak displacement decreased in all groups compared to pre-surgery levels. Increasing sclerosis band thickness post-surgery resulted in decreased maximum von Mises stress of the femoral head by 13.9%, 3.0%, and 8.1%. Defect volume in the defect groups correlated with increased peak displacement of the femoral head by 10.0%, 30.0%, and 100.0%, and increased surface maximum von Mises stress of the femoral head by 9.3%, 14.0%, and 15.1%. Sclerosis band formation exacerbates von Mises stress concentration on the femoral head surface. However, thicker sclerosis bands improve post-NVFG stability and mechanical performance. Larger anterior lateral sclerosis band defects significantly compromise postoperative stability, increasing the risk of collapse. Protecting the anterior lateral sclerosis band during NVFG surgery is crucial.

Morphological Analysis of a New Species of Micropterus (Teleostei: Centrarchidae) from Lake Erie, PA, USA.

This previously undescribed species of Micropterus is described from collections in Lake Erie. The species was first recognized by the tri-colored tail of juveniles. This tri-colored tail, the presence of bold parallel lines ventral to the lateral band, and scales in the inter-radial membranes of the dorsal fin distinguish it from Micropterus nigricans. The large mouth that extends past the eye distinguishes it from Micropterus punctulatus.

Immediate effect of posture-dependent and weight-bearing gluteus medius exercise on muscle function in the lower extremities and dynamic knee valgus

BACKGROUND: The gluteus medius (GM) plays an important role in stabilizing the knee and preventing injury. OBJECTIVE: This study aimed to determine the immediate effects of weight-bearing gluteus medius exercises on lower-extremity muscle function and dynamic knee valgus. METHODS: Eighteen healthy adults (nine each of both sexes) performed three types of weight-bearing gluteus medius exercises (standing, mini-squat, and dead-lift), and a range of kinematic variables were tested in triplicate. Weight-supporting GM exercise consisted of three sets of 15 repetitions of the lateral band walk. The Y-balance test (YBT) and vertical single-leg jump were used as indicators of muscle function in the lower limbs. We used a video analyzer to film the dynamic knee valgus and performed a YBT for the supporting leg and landing leg following a jump. RESULTS: The height of the single-leg vertical jump and the posterolateral and total YBT scores were significantly higher in the dead-lift posture than in the standing and mini-squat postures. Motion analysis of the dead-lifts revealed high hip flexion on the supporting leg in the posterolateral direction, as determined by the YBT, with low levels of internal hip rotation on the landing leg during the one-leg vertical jump. CONCLUSION: As an immediate effect of gluteus medius exercise, the dead-lift posture facilitated single-leg vertical jump, posterolateral balance, and reduced dynamic knee valgus.

A new weigeltaspid (Heterostraci) from the Early Devonian of Nunavut, Canadian Arctic, Canada, with comments on the relationships of the weigeltaspids

ABSTRACT A new weigeltaspid heterostracan, Orthogoniaspis amnicus nov. sp. represents the first weigeltaspid reported from the Early Devonian Peel Sound and Snowblind Bay formations, Nunavut, Canadian Arctic. One partially articulated specimen shows for the first time that while the main plates of the dorsal shield abutted each other the orbital, pineal and rostral plates were separated by bands of tesserae. The similarity of this arrangement to that of the corvaspids, particularly the presence of dorsal lateral plates and bands of tesserae separating the anterior plates suggests a sister-group relationship, as no other heterostracans share this arrangement. Arctic weigeltaspids range from the late Ludlow to the late Lochkovian (O. amnicus nov. sp.), which is earlier than the related European taxa suggesting an Arctic centre of development for the weigeltaspids, as has been suggested for other heterostracan taxa.

Ex vivo biomechanical evaluation of tissue construct strength in an equine colopexy model.

To compare strength of left paramedian colopexies using various techniques in equine ex vivo models. Experimental study. Equine cadavers euthanized for nongastrointestinal pathology (36 specimens derived from 9 horses). Colopexies were performed after euthanasia. Suture pattern (horizontal mattress vs. cruciate) and incorporation of dorsal sheath of the rectus abdominis (partial-thickness) versus incorporation of dorsal and ventral sheath of the rectus abdominis (full-thickness) were evaluated. Single cycle load to failure, work to peak load, stiffness, and mode of failure of colopexy tissue constructs were assessed. Mean load to failure of all constructs ranged from 102.26 to 166.38 N. Partial-thickness bites demonstrated a mean load to failure and standard deviation (SD) of 111.91 (35.88) N and 102.26 (30.06) N (p < .05) which was significantly lower than the mean and SD of full-thickness bites (166.3 [72.42] N and 163.21 [51.40 N]), respectively. All full-thickness bites regardless of suture pattern and over half of partial-thickness bites failed at the colonic wall. There was no significant difference in load to failure compared to mode of failure. A stronger colopexy was achieved with a full-thickness bite regardless of the suture pattern. The most common mode of failure was the colon wall. Incorporating ventral and dorsal fascia of the rectus abdominus provided a stronger colopexy structure, which may necessitate a second incision or subcutaneous palpation of the needle when performing a colopexy. The lateral band of the colon failed in most constructs (77%) regardless of technique, which could weaken the colonic wall and risk colonic rupture.

A Modification to the Brand Transfer for Claw Hand: The Four-Tailed Extensor Carpi Radialis Brevis to Lateral Band Transfer

Background: Claw deformity is a devastating consequence of low ulnar nerve palsy, resulting in loss of finger function. Traditionally, the Brand transfer is a favored intervention but requires lengthy grafts and bulky tenorrhaphies, risking adhesions in the lumbrical canal. We present a modified Brand tendon transfer, which extends the extensor carpi radialis brevis (ECRB) into 4 tails for individual grafting into the lateral band, decreasing adhesion risk and graft length need. Methods: Nine consecutive patients with claw hand were examined in detail to confirm the diagnosis and appropriateness for claw-correction surgery by the senior author. All patients underwent our modified Brand transfer. Follow-up for a minimum of 6 months was pursued for each patient, with range of motion, grip strength, and pinch strength recorded at that time. Results: Treated patients demonstrate maintained grip and pinch strength, coordinated grasp, and improvement in metacarpophalangeal posture. One patient required reoperation for extensive scarring and underwent tenolysis of the tendon grafts and revision grafting for the small finger. Conclusion: We concluded that our modified weave of a 4-tailed tendon graft through the ECRB is a synergistic transfer that maintains acceptable hand strength in the setting of a chronic low ulnar nerve palsy with a lower risk of tendon adhesion and length of grafting, offering an additional tool in the armamentarium of the hand surgeon approaching the ulnar nerve–injured hand.

RPA-CRISPR/Cas12a-LFA combined with a digital visualization instrument to detect Toxoplasma gondii in stray dogs and cats in Zhejiang province, China.

Toxoplasma gondii is a virulent pathogen that puts millions of infected people at risk of chronic disease reactivation. Hosts of T. gondii are distributed worldwide, and cats and dogs are common hosts of T. gondii. Therefore, rapid diagnosis of early T. gondii infection and investigation of its prevalence in stray dogs and cats are essential. Here, we established a visual recombinase polymerase amplification-clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated protein 12a-assay combined with a lateral flow band assay and a digital visualization instrument. Detailed analyses found that the assay could be used for the early diagnosis of T. gondii without false-negative results. Moreover, we detected the prevalence of T. gondii in stray cats and dogs in Zhejiang province, China. Our developed assay provides technical support for the early diagnosis of T. gondii and could be applied in prevalence surveys of T. gondii in stray dogs and cats.

Variation in the origin of the plantar aponeurosis and its relationship to the origin of the abductor hallucis muscle.

The plantar aponeurosis comprises medial, central, and lateral bands, which arise from the calcaneal tuberosity. Descriptions of the origin of the abductor hallucis vary among different textbooks. The central band and abductor hallucis muscles are related to the windlass mechanism. Given the uncertainties regarding the details of the origins of the central band and the abductor hallucis muscle, we examined those origins in 100 feet of 50 cadavers (25 males and 25 females) by dissection. There were three central band patterns, depending on the attachment sites of the origins of the central and lateral bands: Pattern Ia, the central band covers the lateral band completely; Pattern Ib, the central band covers part of the lateral band; Pattern II, the lateral band covers part of the central band. The origin of the abductor hallucis muscle was confirmed. It showed two types of variation: attachment type, originating from the central band; non-attachment type, not originating from the central band. Central band Patterns Ia, Ib, and II were found in 23 feet (17 males, 6 females), 24 feet (25 males, 28 females), and 24 feet (eight males, 16 females), respectively. Pattern Ia predominated in males and Pattern II in females. The attachment and non-attachment types of abductor hallucis muscle were observed in 28 feet (28%) and 72 feet (72%), respectively. The attachment type with Patterns Ia, Ib, and II was shown in 17 feet, 10 feet, and one foot, respectively. Thus, we revealed variation and sex differences in the central band, which could affect foot morphology and the efficacy of the windlass mechanism.

Merging toroidal dipole bound states in the continuum without up-down symmetry in Lieb lattice metasurfaces

Abstract The significance of bound states in the continuum (BICs) lies in their potential for theoretically infinite quality factors. However, their actual quality factors are limited by imperfections in fabrication, which lead to coupling with the radiation continuum. In this study, we present a novel approach to address this issue by introducing a merging BIC regime based on a Lieb lattice. By utilizing this approach, we effectively suppress the out-of-plane scattering loss, thereby enhancing the robustness of the structure against fabrication artifacts. Notably, unlike previous merging systems, our design does not rely on the up-down symmetry of metasurfaces. This characteristic grants more flexibility in applications that involve substrates and superstrates with different optical properties, such as microfluidic devices. Furthermore, we incorporate a lateral band gap mirror into the design to encapsulate the BIC structure. This mirror serves to suppress the in-plane radiation resulting from finite-size effects, leading to a remarkable ten-fold improvement in the quality factor. Consequently, our merged BIC metasurface, enclosed by the Lieb lattice photonic crystal mirror, achieves an exceptionally high-quality factor of 105 while maintaining a small footprint of 26.6 × 26.6 μm. Our findings establish an appealing platform that capitalizes on the topological nature of BICs within compact structures. This platform holds great promise for various applications, including optical trapping, optofluidics, and high-sensitivity biodetection, opening up new possibilities in these fields.

Spacing of subsurface poultry litter bands: Influence on maize performance and nitrogen use efficiency

AbstractPoultry litter (PL) is traditionally surface broadcast to no‐till maize (Zea mays L.). PL is nutrient‐dense, and surface‐applied PL nitrogen (N) is vulnerable to losses to the atmosphere and water systems. An application method was developed by USDA‐ARS scientists for shallow subsurface banding PL to reduce ammonia (NH3) volatilization and surface runoff. There is limited information on how this application method will affect conservation and nutrient accessibility in no‐till maize. The objectives were to determine if adjusting PL lateral subsurface band placement in relation to maize rows affects nutrient use and maize yields. Treatments were a nontreated control (NTC), urea ammonium nitrate surface banded (Fert), poultry litter surface broadcast (PLBr), and three subsurface banded PL treatments. The subsurface PL treatments were one (PLSub1), two (PLSub2), or three (PLSub3) bands between maize rows. Treatments receiving N were applied at 180 kg total N ha−1. Nitrogen concentration in V4 aboveground dry matter was higher in PLSub1 than PLSub2. Aboveground dry matter yields for all PLSub treatments were greater than PLBr and comparable to Fert. The PLSub1 and PLSub2 treatments resulted in maize grain yields equivalent to Fert and greater than PLBr and NTC when averaged across years. Few differences were observed in postharvest soil sample nutrient concentrations between PLSub treatments. These results suggest that subsurface banding PL can conserve N and increase no‐till maize yield over traditional surface broadcast PL; however, increasing the frequency of subsurface PL bands did not clearly affect nutrient conservation or accessibility to the maize.

Anatomically-Inspired Robotic Finger with SMA Tendon Actuation for Enhanced Biomimetic Functionality.

This research introduces an advanced robotic finger designed for future generalist robots, closely mimicking the natural structure of the human finger. The incorporation of rarely discussed anatomical structures, including tendon sheath, ligaments, and palmar plates, combined with the usage of anatomically proven 3D models of the finger, give rise to the highly accurate replication of human-like soft mechanical fingers. Benefiting from the accurate anatomy of muscle insertions with the utilization of Shape Memory Alloy (SMA) wires' muscle-like actuation properties, the bonding in-between the flexor tendons and extensor tendons allows for the realization of the central and lateral band of the finger anatomy. Evaluated using the computer vision method, the proposed robotic finger demonstrates a range of motion (ROM) equivalent to 113%, 87% and 88% of the human dynamic ROM for the DIP, PIP and MCP joints, respectively. The proposed finger possesses a soft nature when relaxed and becomes firm when activated, pioneering a new approach in biomimetic robot design and offering a unique contribution to the future of generalist humanoid robots.

Arion vulgaris (Gastropoda: Pulmonata: Arionidae) – a new alien species in the fauna of Donbass

The first anatomically confirmed record of the Western European mollusk Arion vulgaris Moquin-Tandon, 1855 (Gastropoda: Pulmonata: Arionidae) in the territory of Donbass is described. The species was found in the central city park of Donetsk. Adults were rufous (from grayish rufous to bright orange) or brown in color without dark lateral bands or traces of them. The color of the soles of subadult and adults was from cream to dark gray, regardless of body color, individuals with light gray uniformly colored (39.4%) and cream (35.2%) soles dominated. Egg laying was recorded in September-October. Eggs, juveniles hatched from eggs, subadult and adult hibernate. Some individuals have a lifespan of more than one year. Over the five-year observation period, the area of the colony did not increase and is 0.325 ha, that indicates a low invasive potential of the species in the steppe zone. The distribution of A. vulgaris in the Donbass is likely to be limited to local colonies in populated areas, however, anthropochore invasion of the species into the ravine and fl oodplain forests of the region is possible.

Clinical and Ultrasonographic Effectiveness of Two Different Splints Used for the Treatment of Lateral Epicondylitis: A Prospective Randomized Controlled Study

ObjectiveThis study compares the clinical and ultrasonographic efficacy of 2 splint types, the lateral epicondylitis band (LEB) and the wrist extensor splint (WES), for treatment of lateral epicondylitis (LE). DesignRandomized controlled single-blind trial. SettingOutpatient clinic. Participants159 participants diagnosed with unilateral LE based on clinical and ultrasonographic findings, and 2-12 weeks from symptom onset, were included (N=159). InterventionsOne group received joint-protection education-only (wait-and-see), while the other 2 groups were fit with splints: one the LEB and the other the WES. Both splint groups received joint-protection education. Main Outcome MeasuresThe primary outcome measure was the Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire. Secondary outcome measures were the Visual Analog Scale (VAS) for pain, hand grip strength by dynamometry, algometric measurements, patient satisfaction, and selected ultrasonographic parameters (maximum tendon thickness measurements (MTTM) in the capitellar-radiocapitellar region and total ultrasonography scale score [TUSS]). All outcomes were assessed at baseline, 3-weeks, and 6-weeks post intervention initiation. ResultsParticipants’ mean age was 46.85±8.63 years. Of the participants, 40.88% (n=65) were male and 59.12% (n=94) were female. The baseline median (1Q-3Q) values of PRTEE-total scores were 58.5 (51-68) for the LEB, 63.5 (56.25-70.25) for the WES and 57 (48-68) for the education-only groups. At 6-weeks, the PRTEE-total scores had decreased by 44 points for those randomized to the LEB, 46 points to the WES and 7 points in the education-only groups(P<.001). While the LEB and WES approaches were superior to the wait-and-see approach in algometric measurements, VAS, and PRTEE scores (P<.05), no significant changes were found in MTTM and TUSS values. The LEB group was superior to the WES group in hand grip strength and patient satisfaction (P<.05). ConclusionUsing either splint for 6 weeks can be considered effective for the relief of pain and increased functionality in persons with subacute LE, although the LEB had a more positive effect on grip strength and patient satisfaction than the WES.

Dorsal capsule release and lateral band translocation for a stiff swan neck deformity without articular involvement.

The treatment for proximal interphalangeal joint (PIP) stiffness in extension requires extensor tenolysis, concomitant procedures to restore flexion, and intensive therapy. A stiff swan neck deformity without articular involvement is rare and the treatment is always challenging. Six patients with stiff swan neck deformities were operated between 2016 and 2023, and the outcome was analyzed retrospectively. A dorsal capsule release and radial lateral band translocation volar to the PIP joint axis were done. This translocation was maintained by a sling formed by the flexor digitorum superficialis and the free margins of the accessory collateral ligament. The range of movements in the PIP joint, visual analog scale (VAS), and functional outcomes were analyzed by the Michigan Hand Outcome Questionnaire (MHOQ) score. The mean follow-up was 49.5months (range 48-52months). The mean preoperative PIP joint extension was 8 (range 5-10) degrees of extension), and the mean preoperative PIP joint flexion was 0. All patients improved after the surgery and the mean flexion of the PIP joint at follow-up was 95 degrees; extension was 1 degree (range 0-5 degrees). The mean Michigan Hand Outcomes Questionnaire (MHOQ) score was 92 (range 90-95) and the VAS was 0. Dorsal capsule contracture release and lateral band translocation to the volar axis of the PIP joint seem to be the possibilities for correcting stiff swan neck deformity. IV, retrospective case study.

Correction of Complex Clawing after Cerebral Infarct via All-Dorsal ECRB Tendon Transfer using Four-Tailed Plantaris Autograft

Clawing refers to pathologic hand posture of metacarpophalangeal joint hyperextension and proximal interphalangeal joint flexion, with variable presentation in appearance and functional deficits depending on underlying etiology, chronicity, and attempts at treatment. Characteristic deficits include the clawed appearance, loss of synchronous finger flexion, weakened grip and pinch strength, and impaired dexterity from loss of fine motor control. Surgical treatment varies for simple versus complex clawing, with additional nuances for associated pathology such as extensor mechanism attenuation, flexor myotendinous tightness, and intrinsic joint contracture. Conditions such as stroke or combined ulnar and median neuropathy require special consideration, as median-innervated myotendinous donors are not suitable. The present technique describes all dorsal extensor carpi radialis brevis tendon transfer via four-tailed plantaris autograft to the lateral bands for treatment of complex clawing after cerebral infarct.

Observations of the occurrence and disappearance of peritectic couple growth performed under microgravity conditions

Peritectic couple growth (PCG) is an unusual growth form at which the peritectic and pro-peritectic solid phases solidify like a regular eutectic. To investigate the dynamics of PCG formation and growth, experiments with the transparent, organic peritectic alloy Tris(hydroxymethyl)aminomethane–Neopentylglycol are performed at the International Space Station. Fully planar and partly planar/cellular PCGs are found and analyzed. In any case, PCG starts with the formation of lateral bands from the peritectic phase that overgrow most of the pro-peritectic phase but not completely. During coupled growth, the remaining patches transform into rods and/or lamellae. Depending on the conditions, PCG either terminates by the disappearance of pro-peritectic rods or by transforming the rods into cells. The second mechanism goes hand in hand with the formation of a single-phase 2D layer at the top of a tilted interface. At low pulling velocities, planar pro-peritectic phase growth transforms into planar peritectic phase growth via PCG.

The retinacular ligaments of the digital extensor expansion revisited: An anatomical and biomechanical study.

Our aim was to clarify the anatomy and function of the retinacular ligaments. Forty-eight fingers were dissected and the thickness of the oblique retinacular ligament (ORL) was graded. In four fingers, the motion in the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints was subjected to an in-depth analysis before and after sectioning of either the lateral bands (LB) or the ORLs. The function of the ORLs in restricting flexion of the DIP joint with full extension of the PIP joint was measured in 10 fingers. An ORL could be identified on both sides in all 48 fingers. The distribution of the insertion on the proximal phalanx was 7/96 (7%) in the distal third, 70/96 (73%) in the middle third and 19/96 (20%) in the proximal third. Among the specimens, 29% were graded as having a strong bundle of fibers, 51% as having well-defined and regular fibers and 20% as having thin and sparse fibers. With the PIP joint extended, there was a statistically significant increase in flexion of the DIP joint after the ORL was cut. After the LB was sectioned, the ORL was able to extend the DIP joint with an extension lag of 10-22°. Cutting the ORL did not affect the ability to extend that joint. We conclude that the retinacular ligaments are consistent. Their major role is not connected with finger movement, but to provide stabilizing links between the PIP and DIP joints. They are active in not only specific, uncommon finger positions but also in ordinary use of the fingers.

Lateral band snapping syndrome in the little finger – easy to misdiagnose, easy to mistreat. Case report

Clicking, triggering or snapping during finger motion is common and mostly results from stenosing tenosynovitis or pathology around the metacarpophalangeal joint. We describe a case of a 15-year-old girl with lateral band-snapping syndrome of the left fifth finger due to a previous traumatic event, an uncommon condition with few reports in the literature. Initially misdiagnosed as a trigger finger, she was operated on with a typical approach and no improvement. After the correct assessment by other surgeons and ultrasonographic confirmation of the pathology, reconstruction of transverse retinacular ligament and subsequent physiotherapy led to a full recovery. Although uncommon, this pathology should be considered and potentially ruled out in most cases of finger triggering or snapping.