Trigger Finger Release
Trigger Finger Release
Trigger finger is a condition characterised by temporary locking of the involved finger during flexion and extension.
The cause is hypertrophy and an inflammation process of A1 tendon pulley which blocks normal forward and backward gliding of the tendon under the affected pulley. The name is due to characteristic clicking sensation made by an affected tendon when moved.
The diagnosis is based on patient’s history, clinical and ultrasound examinations.
Treatment:
The first-line treatment is taking anti-inflammatory medicines and steroid injection.
Ultrasound guided precutaneus trigger finger release:
The goal of this procedure is to release the affected tendon by breaking up the constricting A1 pulley. The therapeutic effect is achieved by placing the needle direct inside the affected pulley and then by moving dynamically forward and backward many times in order to rupture the pulley. When the pulley is ruptured the affected tendon is released and the patient can normally move the finger. The procedure is performed with local anesthesia and only under ultrasound guidance. Small dosage of steroids may be administered afterwards.
The ultimate treatment is surgery.
Dr. Marcin Goczewski performs precutaneus trigger finger release only under ultrasound guidance in order to increase the chance of successful therapy and minimize the risk of complications.
