What are the treatment options for trigger finger (TF)?

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

Early series recommended surgical treatment of trigger finger (TF) as straightforward and highly effective, while regarding prolonged conservative treatment as unreliable and expensive. Subsequent series documented poor results from surgical treatment in 7-9% of cases.

In 1972, Lapidus reversed his previous recommendation for operative treatment of TF after he and Guidotti reported uniformly good results following a single injection of prednisolone into the tendon sheath. [35] Rhoades et al subsequently reported a 72% success rate in a series of 53 digits following injection and immobilization. [36]

Injection therapy is now generally agreed to be the first line of management. Surgery is reserved for individuals in whom injection treatment has failed or in whom other pathology, particularly rheumatoid arthritis (RA), is suspected to be causing triggering that cannot be treated conservatively. [37] No absolute contraindications exist for surgical management.


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