General Procedure Information

Trigger Finger Release

Trigger-finger release may be considered when catching, locking or pain persists and affects hand function. Whether a procedure is needed depends on diagnosis, hand function and the response to non-operative care.

What Is It?

Trigger finger usually involves impaired gliding of a flexor tendon within its sheath. A release aims to create more space at the affected point so the tendon can glide more freely; a hand specialist plans the procedure individually.

When Might It Be Considered?

These are common assessment considerations only; they do not mean that you are necessarily suitable for surgery or the procedure.

  • Repeated catching, locking, pain or difficulty fully bending/straightening affects daily hand function
  • The diagnosis is confirmed and observation, splinting, injection or other non-operative options have been discussed
  • Symptoms persist or recur and the doctor considers that a procedure can be discussed

What Are the Alternatives?

  • Activity adjustment, splinting, medication or injection, depending on symptoms and health
  • Not every clicking or painful finger is trigger finger; the diagnosis should be confirmed first

General Assessment and Procedure Planning

Assessment considers which finger is affected, symptom duration, prior care, diabetes or other health conditions and work needs. The approach, anaesthesia and wound-care plan are explained individually by the doctor.

Important

Possible Risks and Limitations

All surgery and invasive procedures carry risks. Your actual risk depends on your condition, the scope of the procedure, health and other factors. Your doctor will discuss this individually during informed consent.

  • Infection, bleeding, wound pain or sensitivity, scar discomfort and stiffness
  • Injury to nerves, blood vessels or tendon, and persistent or recurrent symptoms
  • Possible need for hand rehabilitation or further treatment

General Recovery Approach

Finger movement, wound care, hand use and return-to-work arrangements depend on the wound and surgical scope. Persistent stiffness, swelling or functional limitation may prompt hand therapy.

When Should You Contact the Medical Team Promptly?

  • Pain, swelling, redness or warmth becomes suddenly worse after surgery or injury
  • Persistent wound bleeding or discharge, marked wound redness or swelling, fever, chills or feeling generally unwell
  • New or worsening numbness, weakness, breathing difficulty, chest pain or marked calf pain/swelling

For severe illness, breathing difficulty, chest pain, fainting or inability to travel safely, call 999 or attend an emergency department immediately.

Reference

Hong Kong College of Orthopaedic Surgeons patient education

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