Trigger finger surgery, aimed at treating stenosing tenosynovitis, typically involves procedures to release the tendon and allow it to move more freely. There are mainly two types of surgical procedures used:

1. Open Trigger Finger Release Surgery

• Procedure: This is the traditional form of surgery for trigger finger. A surgeon makes a small incision in the palm of the hand near the affected finger or thumb. Through this incision, the surgeon accesses the tendon sheath (the tunnel through which the tendon moves). The surgeon then cuts through the part of the sheath that is constricting the tendon.

• Recovery: Recovery time can vary, but generally, patients regain full use of their finger or thumb within a few weeks. Physical therapy may be recommended to improve movement and strength.

• Risks and Considerations: As with any surgery, there are risks such as infection, nerve damage, or scarring. However, open surgery allows the surgeon to directly visualize the area, potentially reducing certain risks.

2. Percutaneous Trigger Finger Release Surgery

• Procedure: This is a less invasive procedure compared to open surgery. The surgeon uses a needle instead of making an incision. Under local anesthesia, the needle is inserted into the tissue around the affected tendon. The surgeon then uses the needle to break apart the constriction that is causing the trigger finger.

• Recovery: Recovery from percutaneous release is typically quicker than open surgery, with less pain and scarring. Patients may return to normal activities sooner.

• Risks and Considerations: While less invasive, percutaneous release may have risks like incomplete release of the tendon, nerve damage, or infection. It also provides less direct visualization for the surgeon, which can be a limitation.

Factors Influencing the Choice of Surgery

• Severity of Condition: More severe cases might require open surgery for a complete and thorough treatment.

• Patient Health: Overall health and the presence of other medical conditions may influence the choice.

• Surgeon's Expertise: The experience and preference of the surgeon play a role in determining the type of surgery.

• Patient Preference: Some patients may prefer less invasive options if suitable for their condition.

Post-Surgery Care

Regardless of the type of surgery, postoperative care is crucial. This may include:

• Rest and Elevation: Keeping the hand elevated to reduce swelling.

• Wound Care: Proper care of the surgical site to prevent infection.

• Physical Therapy: Exercises to regain movement and strength.

• Follow-up Appointments: Monitoring recovery and addressing any complications.

Consultation with a healthcare professional is essential to determine the most appropriate surgical option based on individual circumstances.