Trigger finger surgery

Ultrasound-guided trigger finger release surgery

Trigger finger is a condition where a finger or thumb catches, clicks, or locks during movement. It occurs when the tendon that bends the digit becomes irritated and swollen and no longer glides smoothly through its protective sheath. Symptoms often begin gradually and may worsen over time if left untreated. In advanced cases, there can be long term restriction of finger bending or straightening.

Trigger finger release is a minor day-case procedure, usually performed under local anaesthetic. The procedure is typically short, and patients are able to go home straight away.

Ultrasound-guided release surgery is primarily for people with Trigger Finger who have not found relief with conservative treatments like splinting, medication, or steroid injections.

Your surgeon will evaluate if you are a suitable candidate by performing a clinical examination, and will also discuss any appropriate non-surgical options such as steroid injections, or splinting.

Surgery may be recommended if symptoms have persisted despite non-surgical treatment or if the finger remains locked.

Because the operation is performed under local anaesthetic through a small puncture, we can treat a wide range of patients - including those who prefer to avoid general anaesthesia or hospital surgery.

Trigger finger release is a minor day-case procedure, usually performed under local anaesthetic.

During the procedure:

• A small incision is made in the palm at the base of the affected finger
• The tight portion of the tendon sheath is carefully released
• This creates more space for the tendon to glide smoothly

The procedure is typically short, and patients are able to go home straight away.

Ultrasound-Guided Trigger Finger Release

When suitable, trigger finger release can also be performed using an ultrasound-guided technique.

Real-time ultrasound provides clear visualisation of the tendon, pulley and nearby nerves throughout the procedure, helping to improve accuracy while minimising disruption to surrounding tissues.

Typical advantages compared with open surgery include:

• Smaller incision with reduced scarring
• Less post-operative discomfort
• Faster return to everyday hand use
• High success rates comparable to open release

The procedure is typically performed as an outpatient under local anaesthetic, with early movement encouraged after treatment.

Because the procedure is so precise and minimally invasive, recovery is simple and almost effortless.

Finger movement often improves immediately, with strength and comfort continuing to improve over the following weeks.

Overall outcomes are excellent, particularly when treatment is started early.