Percutaneous Release of Trigger Finger Under Local Anesthesia

Objective: The trigger finger involves the hindrance of the flexor tendon in the hand, commonly leading to pain, discomfort, and dysfunction in the hand. This work aimed to assess the results of percutaneous release using local anesthesia for the treatment of the trigger finger. Patients and Methods: This single-arm trial was carried out on 30 patients, aged 18 years old, both sexes, and diagnosed by clinical assessment by the percutaneous release of A1 pulley of the diseased finger with a history of triggering for at least 3 months and failure of previous steroid injection into the flexor sheath at least once. Results: The complications were pain in 10%, swelling in 13.33%, numbness in 3.33% of the patients, triggering, stiffness, digital nerve injury, scar, and recurrence were not present in any patients. Patient satisfaction was poor in 26.67%, good in 16.67%, and excellent in 56.67% of the patients. Age, sex, duration of symptoms, occupation, hand side, grade, and finger affection were insignificantly different among the 3 groups. Conclusion: The percutaneous release of the trigger finger under local anesthesia can be a safe and effective treatment for the trigger finger, applicable to a broad range of patients indicating a generally favorable outcome with minimal complications and higher satisfaction rates.