Trigger Finger Release Surgery

Understanding Trigger Finger

Trigger finger, also known as stenosing tenosynovitis, is a condition where a finger or thumb gets stuck in a bent position due to inflammation and narrowing of the tendon sheath. The affected digit may snap or pop when straightened, resembling the action of pulling and releasing a trigger, hence the name trigger finger. This condition can cause pain, stiffness, and limited mobility in the affected finger or thumb.

When Surgery Becomes Necessary

Trigger finger release surgery becomes necessary when conservative treatments, such as splinting, anti-inflammatory medications, and corticosteroid injections, fail to provide relief. Severe cases of trigger finger can lead to permanent finger stiffness and impaired hand function if left untreated. Surgery is recommended to restore normal finger movement and alleviate pain.

Overview of the Surgical Procedure

Trigger finger release surgery is a minimally invasive procedure that involves cutting the constricted portion of the tendon sheath to allow the tendon to glide smoothly. The surgery can be performed under local anesthesia and typically takes less than 30 minutes to complete. The primary objective of the procedure is to restore normal finger function and relieve pain.

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Related Concerns

Complications associated with trigger finger include persistent pain, swelling, infection, and nerve damage. In rare cases, the condition may recur after surgery.

Causes of the Issues

Trigger finger is caused by inflammation and narrowing of the tendon sheath, which can result from repetitive gripping motions, rheumatoid arthritis, diabetes, or other underlying health conditions.

Treatment Approaches

Treatment options for trigger finger include conservative measures such as rest, splinting, anti-inflammatory medications, and corticosteroid injections. When these treatments fail to provide relief, trigger finger release surgery may be recommended.

Service Overview

Trigger finger release surgery is a minimally invasive procedure that involves cutting the constricted portion of the tendon sheath to restore normal finger function and relieve pain. The surgery is performed under local anesthesia and has a high success rate.

Step-by-Step Guide to Trigger Finger Release Surgery

1. The patient's hand is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. A small incision is made at the base of the affected finger.
4. The surgeon carefully cuts the constricted portion of the tendon sheath.
5. The finger is gently moved to ensure smooth gliding of the tendon.
6. The incision is closed with sutures or adhesive strips.
7. A bandage is applied to protect the wound. ### Conditions Warranting Trigger Finger Release Surgery Trigger Finger Release Surgery is recommended for individuals suffering from severe cases of trigger finger where non-surgical treatments have failed to provide relief. This includes cases where the finger or thumb is locked in a bent position or when the condition causes significant pain and interferes with daily activities. Lifestyle considerations such as occupations or hobbies involving repetitive gripping motions may also warrant the need for surgery. ### Benefits of Trigger Finger Release Surgery The surgery can provide immediate relief from pain and restore full mobility of the affected finger or thumb. It can prevent permanent finger stiffness and improve hand function. The procedure is minimally invasive with a high success rate and typically results in minimal scarring. ### Risks of Trigger Finger Release Surgery While generally safe, the surgery carries potential risks including infection, nerve damage, and recurrence of the condition. In rare cases, the surgery may not fully restore finger mobility or alleviate pain. ### Preparation for Surgery Patients are advised to stop taking certain medications that can increase bleeding risk. Smoking cessation is recommended to promote healing. A period of fasting is usually required before the surgery. ### Pre-surgery Procedures and Checks At the hospital, the patient's medical history is reviewed and a physical examination is conducted. The hand is cleaned and sterilized, and local anesthesia is administered. ### Postoperative Care After the surgery, the hand is bandaged and elevated to reduce swelling. Pain medication may be prescribed. Patients are instructed on wound care and signs of infection to watch for. Follow-up appointments are scheduled to monitor healing. ### Recovery and Rehabilitation Recovery time varies but most patients regain full finger function within a few weeks. Physical therapy and exercises may be recommended to improve strength and flexibility. ### Alternatives to Surgery Non-surgical treatment options include rest, splinting, anti-inflammatory medications, and corticosteroid injections. These treatments can provide relief in mild to moderate cases of trigger finger. ## References
8. American Academy of Orthopaedic Surgeons. (2019). Trigger Finger (Stenosing Tenosynovitis).
9. American Society for Surgery of the Hand. (n.d.). Trigger Finger.
10. Mayo Clinic. (2021). Trigger finger: Diagnosis & treatment.
11. Private Healthcare UK. (n.d.). Trigger finger release: Cost.
12. Cleveland Clinic. (2019). Trigger Finger (Stenosing Tenosynovitis): Management and Treatment.

• American Academy of Orthopaedic Surgeons. (2019). Trigger Finger (Stenosing Tenosynovitis).
• American Society for Surgery of the Hand. (n.d.). Trigger Finger.
• Mayo Clinic. (2021). Trigger finger: Diagnosis & treatment.
• Private Healthcare UK. (n.d.). Trigger finger release: Cost.
• Cleveland Clinic. (2019). Trigger Finger (Stenosing Tenosynovitis): Management and Treatment.