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Surgery for trigger finger
Vilhjalmur Finsen1, Solfrid Hagen
1Department of Orthopaedic Surgery, Trondheim University Hospital, 7006 Trondheim, Norway. Vilh.Finsen@medisin.ntnu.no
Summary
Surgery for trigger finger can be effective, but potential complications should be considered. This study reviewed long-term outcomes, finding few severe issues but noting the possibility of recurrence or nerve irritation after the procedure.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Trigger finger (stenosing tenosynovitis) treatment outcomes vary.
- Contradictory reports exist regarding surgical complications and efficacy.
Purpose of the Study:
- To evaluate the long-term results of trigger finger surgery.
- To assess complication rates and functional recovery after surgical intervention.
Main Methods:
- Retrospective review of 72 patients (84 digits) undergoing surgery.
- Follow-up conducted 8.5 years (range 7-11 years) post-operation.
Main Results:
- One re-operation for persistent symptoms and one moderate recurrence were noted.
- Two cases of temporary nerve irritation (neuropraxia) occurred; no permanent nerve damage was detected.
Conclusions:
- Surgery is a viable option for persistent trigger finger symptoms post-steroid injection.
- Patients should be informed about the potential for complications, even with this minor surgical procedure.