Editing Trigger finger (section)

== '''Surgery''' ==

* '''Technique - finger'''
** Wide awake, LA, no tourniquet
** Can be transverse, longitudinal or chevron incision over the A1 pulley
**
** Use Metz scissors to expose the tendon sheath with gentle spreading. Blunt ends of cats paw retractors to protect other structures/expose.
**
** Take the finger through several cycles of active movement to ensure full release
** Close the wound (4/0 Nylon or Vicryl Rapide)
** Rehabilitation is unnecessary, unless contractures were present, but encourage finger ROM
* '''Technique - thumb'''
** Beware of radial digital nerve of the thumb - crosses obliquely over the A1 pulley, especially proximally
* '''Complications'''
** Recurrence 3%
** Infection
** Digital nerve injury
** Flexor tendon bowstringing

[[Category:Skin, soft tissue and wounds]]