Percutaneous Release of Trigger Finger Functional Outcomes and Complications

Background: Trigger finger results from thickening of the A1 pulley, restricting tendon movement, causing pain and finger locking. Percutaneous release is a minimally invasive alternative to open surgery, offering quicker recovery and fewer complications. Objective: To evaluate the outcomes of percutaneous release for trigger finger regarding pain relief, finger range of motion, and complications for the period between September 2021 and September 2023. Methods: This prospective study included 49 patients (57 fingers) treated with percutaneous release at Amran General Hospital. Patients with Grade ≥2 according to Quinnell’s classification were included. The procedure used local anesthesia and a 19-gauge needle for A1 pulley release. Follow-up assessments at 1, 6, and 12 weeks for pain relief, range of motion, and complications were evaluated. Results: The procedure was successful in 54 of 57 digits (94.7%). Most cases (68.4%) showed complete resolution (Grade 0), while 26.3% had occasional pain (Grade 1). Three patients required open surgery due to incomplete release. No infections, nerve damage, or other complications were reported. The average recovery time was 1.5 ± 0.5 days. Conclusion: Percutaneous A1 pulley release is a safe, effective treatment for trigger finger, with a 94.7% success rate, minimal complications, and rapid recovery, making it a reliable alternative to open surgery.