Dr Namrata Anavekar Plastic & Reconstructive Surgeon

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Trigger Finger

Trigger finger release surgery relieves a stiff, catching, or locking finger by creating a small incision in the palm and cutting the tight A1 pulley that restricts the tendon’s movement. The procedure is typically a quick, outpatient surgery done under local aesthetic. 

What are the types of Trigger Finger Release surgery?

Open release (most common)

  • Done under local anaesthetic.
  • A small incision (1–2 cm) is made in the palm at the base of the affected finger.
  • The surgeon identifies and carefully divides the A1 pulley.
  • The tendon is tested to ensure smooth gliding.
  • Skin is closed with sutures.

Percutaneous release (needle release)

  • Performed with a needle or blade tip through the skin, without a formal incision.
  • Guided by feel (sometimes ultrasound).
  • Less invasive, but with slightly higher risk of nerve/tendon injury.
  • Not suitable for all fingers (e.g., thumb or small finger where nerves are close).

Recovery

Recovery after trigger finger release surgery is usually straightforward and relatively quick compared to many hand operations, but it depends on the surgical technique (open vs percutaneous), the severity of the condition before surgery, and any underlying medical factors (like diabetes or rheumatoid arthritis).  Normally a full recovery is expected within 6-12 weeks of surgery. 

Types of De Quervain’s release surgery

Open Release (standard approach)

  • Most common and reliable technique.
  • Performed under local anaesthesia, often as a day procedure.
  • A small incision (2–3 cm) is made over the first dorsal compartment of the wrist.
  • The sheath (extensor retinaculum) is carefully opened to release the tunnel.
  • Any sub compartments (especially if the EPB has its own sheath) are identified and released.

Endoscopic Release (minimally invasive, less common)

  • Performed through a small portal using an endoscope.
  • The tendon sheath is divided under camera guidance.
  • Cosmetic benefit: smaller scar, potentially quicker recovery.

Percutaneous Release (rare, limited use)

  • A needle or blade is used to divide the tendon sheath without a formal incision.
  • A needle or blade is used to divide the tendon sheath without a formal incision.

Recovery

Recovery after De Quervain’s release surgery is generally good, with most patients regaining full use of their thumb and wrist. The timeline varies slightly depending on whether the procedure was open or endoscopic, but overall it is considered a minor hand operation.  Full recovery is expected, for most patients, to be 6 -12 weeks.