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Related Experiment Video

Updated: Feb 23, 2026

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Percutaneous Release of Trigger Digits.

Noah D Weiss¹, Madeline B Richter

¹Weiss Orthopaedics, Sonoma, CA. nweiss@weissortho.com.

American Journal of Orthopedics (Belle Mead, N.J.)

|September 1, 2017

Summary

This summary is machine-generated.

Percutaneous release effectively treats trigger finger (stenosing flexor tenosynovitis) with a 90.1% success rate. This minimally invasive method offers a safe, economical alternative to open surgery, avoiding complications like infection or nerve damage.

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Area of Science:

Orthopedic Surgery
Hand Surgery
Minimally Invasive Procedures

Background:

Stenosing flexor tenosynovitis, commonly known as trigger finger, presents a significant clinical challenge.
Traditional treatments include open, endoscopic, and percutaneous tendon sheath incisions, each with varying outcomes and recovery profiles.
Open surgery, while effective, is associated with higher costs, longer procedure times, and extended postoperative recovery.

Purpose of the Study:

To evaluate the efficacy and safety of percutaneous tendon sheath incision as a primary treatment for trigger digits.
To compare the outcomes of percutaneous release with established surgical methods for trigger finger.

Main Methods:

A retrospective study was conducted over a 10-year period, involving a single surgeon treating 596 trigger digits in 429 patients.
Treatment involved percutaneous tendon sheath incisions.
Successful release was defined by symptom resolution or patient's decision to forgo further treatment.

Main Results:

A high success rate of 90.1% (537 out of 596 digits) was achieved with percutaneous release.
Among the 59 failures, subsequent treatments (repeat percutaneous or open surgery) led to overall high success rates.
No significant differences in digit success rates were observed, and importantly, no complications such as infection, chronic pain, or tendon/neurovascular damage were reported.

Conclusions:

Percutaneous tendon sheath incision is a safe and effective treatment for trigger digits.
This minimally invasive approach offers comparable success rates to open surgery but with improved economic and recovery profiles.
It represents a viable, cost-effective alternative for managing trigger finger, minimizing risks associated with more invasive procedures.