Trigger Finger
Ultrasound-guided WALANT release through a 3-4 mm skin opening, no stitches, usually back to hand function in about 2 weeks.
This is the same method I use here. Under local WALANT anesthesia, through a 3-4 mm skin opening, I release the A1 pulley under the skin with dedicated instruments and ultrasound guidance. No stitches, only a small dressing. Most patients recover comfortable hand function in about 2 weeks, with almost no visible scar and minimal adhesions. Steroid injections can help, but when locking persists or returns, this ultrasound-guided microrelease is my preferred option. Open surgery is mostly reserved for revision after previous procedures.
Symptoms
- Finger locking bent
- Clicking
- Pain at base of finger
- Stiffness
Conservative treatment
- Splinting
- Steroid injection
- Activity modification
- Anti-inflammatories
When is surgery needed?
Preferred method: micro-invasive ultrasound-guided WALANT release through a 3-4 mm opening. Open release mainly for revision cases.