More complex selective fasciectomy. A, Disease involving thumb, middle, ring, and small fingers. B, Cords to be released are dotted with skin-marking pen. C, Planned incisions are solidly outlined before tourniquet inflation. D, Palmar and digital cords are exposed through the longitudinal incision. E, Exposure after cord excisions. Note the additional transverse incision required to excise ring finger central cord and additional thumb cord incision. F, After meticulous hemostasis, Z-plasty wounds are closed. SEE TECHNIQUE 75.3.