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The second pass for completing the loop. (a) Second needle pass superficial to the A1 pulley. (b) A1 pulley was looped by a transecting thread.
Note. Up arrows indicate the transecting thread; down arrow indicates the needle approaching distal limit P in the second pass. A1 = A1 pulley; VP = volar plate; MC = metacarpal bone; PP = proximal phalanx; Prox = proximal; Dis = distal.
