Inability to straighten the involved finger.The most common complications following surgery for trigger finger or trigger thumb include: Your doctor will discuss the risks with you before surgery and will take specific measures to help prevent complications. Complications can occur with any type of surgery. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010.Ĭomplications. Reproduced and adapted from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. Although pulleys have an important function in the hand, releasing the A1 pulley should not cause problems in the future, especially if the other pulleys remain intact.ĭuring trigger release surgery, the A1 pulley is cut (dotted blue line). The A1 pulley is divided (released) so that the flexor tendon can glide freely. Surgery is usually performed through either a small open incision in the palm or with the tip of a needle. It can be performed with or without sedation (medication that puts you to sleep). After release, the flexor tendon can glide more easily through the tendon sheath, making the clicking/catching sensation go away. Typically, trigger finger release is an outpatient procedure, with an injection of local anesthesia to numb the area for surgery. The goal of the procedure is to release the A1 pulley, which is the pulley responsible for blocking tendon movement. The surgical procedure for trigger finger is usually trigger finger release. If, however, your finger or thumb is stuck in a flexed or bent position and cannot be straightened with gentle manipulation, your doctor may recommend surgery to prevent permanent stiffness. The decision to have surgery is based typically on how much pain or loss of function you have in your digit. If your trigger finger does not get better with nonsurgical treatment, you may wish to consider surgery. They can cause a short-term rise in blood sugar, so glucose levels in diabetic patients should be monitored closely after injection. Steroid injections are less likely to be effective in patients with diabetes but may still help avoid surgery. If two injections do not help the problem, surgery is often recommended. ![]() If symptoms do not improve with one injection or improve but then come back after a period of time, a second injection may be given. In many cases, a steroid injection can resolve the condition. Corticosteroid, or cortisone, is a powerful anti-inflammatory agent that can be injected into the tendon sheath at the base of the affected digit. Over-the-counter medications, such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), can help relieve pain and inflammation. Gentle stretching exercises can help decrease stiffness and improve range of motion in the involved digit. Wearing a splint at night to keep the affected finger or thumb in a straight position while you sleep may be helpful.Įxercises. ![]() Resting your hand and avoiding activities that make it worse may help to resolve the problem. Initial treatment for a trigger finger is usually nonsurgical.
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