Fig. 3From: Evaluation of the first annular pulley stretch effect under isometric contraction of the flexor tendon in healthy volunteers and trigger finger patients using ultrasonographySchema of pattern B with the metacarpophalangeal joint of the middle finger flexed at 45° under isometric contraction of the flexor tendon. The examiner pushes the middle finger toward the dorsal side during the examination. An active flexor tendon contraction force and a counteracting flexor tendon force can generate contact force that expands the first annular (A1) pulley toward the palm sideBack to article page