Trigger finger occurs when the flexor tendon thickens and can no longer move smoothly through the tendon sheaths. Upon examination, a painful, nodular thickening of the flexor tendon is palpable beneath the palmar crease (in the A1 pulley region). When attempting to flex and extend the finger, a characteristic popping or catching of the flexor tendon of the affected finger is visible and palpable. In cases of significant thickening, extension may become impossible, leaving the finger locked in a flexed position.
Based on the examination, we can decide on treatment with non-steroidal anti-inflammatory drugs and rest, or injection of a local anesthetic and corticosteroid into the tendon sheath. If this is not successful or in case of advanced forms, we recommend surgery.
Diagnostics include:
In the initial stages, the problem can be treated conservatively:
If the problem persists or progresses, we recommend surgical intervention. The goal of the procedure is immediate improvement in mobility and elimination of sticking.
At Juventini, we perform a minimally invasive procedure in which:
Before the procedure, we conduct a thorough examination and, if necessary, additional diagnostics, which may include a clinical functional test, MRI of the hand, etc.
Before surgery, we recommend:
The procedure is performed under local anesthesia and takes approximately 15-30 minutes. During the surgery, after a prior discussion and marking in a bloodless field, a small incision is made over the A1 pulley under local anesthesia. The pulley is carefully visualized and an incisional window is created. In advanced cases, removal of the affected part of the tendon sheath (synovectomy) is also necessary. During range of motion testing, full mobility throughout the entire range is achieved, and precise hemostasis (stopping of bleeding) and skin closure are performed. A dressing is applied after the surgery.
With a scarless approach, we check finger flexibility and ensure smooth tendon gliding. The minimally invasive technique allows for:
After the surgery, we expect that there may be minimal pain, swelling, a pulling sensation, and altered skin sensitivity in the area of the surgical incision. These symptoms usually subside for the most part after approximately 3 weeks.
After surgery, the following may be present:
You can start gentle finger exercises a few hours after surgery. We recommend having your stitches removed by your personal physician 10-14 days after surgery. After suture removal, we recommend physiotherapy and scar care.
With an additional program Juventina Care 360° we provide comprehensive preparation for surgery, rapid and effective recovery, and support for advanced methods for faster regeneration.
Juventina Care 360° includes:
