What is the prognosis of trigger finger (TF) following surgical release?

Updated: Apr 26, 2021
  • Author: Satishchandra Kale, MD, MBBS, MBA, MCh(Orth), FRCS(Edin), FRCS(Tr&Orth); Chief Editor: Harris Gellman, MD  more...
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Answer

Patients who need surgical release generally have a very good outcome. Percutaneous TF release has been reported by several authors to be safe and efficacious, with success rates of 74-94% and no complications having been found at medium-term follow-up. The procedure is advised for individuals with established primary TF who have symptoms lasting longer than 4 months or for patients in whom injection therapy has failed to relieve symptoms. It is considered a reasonable choice following 1 injection failure and actually may confer cost benefits through permanent relief.

The prognosis is also very good for congenital trigger thumb that is treated with resection of the tendon nodule.

A study suggests that perioperative characteristics and outcomes differ between TF and trigger thumb and that the surgical outcome is poorer for TF than for trigger thumb (partly due to flexion contracture of the PIP joint). [28]


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