Trigger digit: the needle or the knife?

We report our experience in conservative treatment of 30 patients with trigger digits followed up for an average of 22.3 months. In 26 patients (86.6%) the pain disappeared and the others experienced a remarkable improvement. Locking resolved in 23 patients (76.6%): in 19 patients immediately after the injection and in the other four gradually thereafter. Only three patients needed a second injection. All were satisfied and none required any other form of treatment.