Trigger Finger/ Release

Trigger finger is a bothersome clicking or locking of the finger. The pulley is release is a procedure that allows the finger tendon to glide smoothly.

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Trigger Finger

Trigger finger is a problem that can develop over time. There is usually no one specific cause of this disorder; however, it does occur more frequently in diabetics. This pathology may cause a bothersome clicking or locking of your finger that can be painful at times, and patients may not be able to straighten the finger without using assistance from the other hand. You may even feel a small painful nodule at the base of your finger. The snapping or clicking that’s felt is a result of inflammation surrounding the flexor tendon in your finger, whereas a normal tendon glides smoothly through several pulleys. When inflammation develops, the tendon may get stuck on the wrong side of the pulley and prevent you from straightening the finger.

Treatment for this condition usually begins with a corticosteroid injection. This injection has anti-inflammatory properties which should allow the inflammation surrounding the tendon to subside. If a corticosteroid is not successful after two attempts and the issue is persisting, then you may be a candidate for surgery.

 

Trigger Finger Release

If a corticosteroid injection does not successfully treat your trigger finger after two attempts, then you may be a candidate for either percutaneous trigger finger release or open trigger finger release.

Percutaneous trigger finger releases can be done in the office. The finger of interest must be reproducibly triggering so that we are able to determine whether or not the pulley is successfully released. Local anesthesia is given, and a small poke hole is made in the skin. A needle is used to cut and release the pulley that the tendon is getting caught on. The finger is then tested to ensure that it is no longer getting caught. A compressive dressing is placed for the patient to wear over the next few hours. The area may be sore for a few weeks while everything heals. Hand and finger range of motion is encouraged immediately after the procedure. This is only an option for certain patients depending on the finger involved and the severity of the triggering.

The open trigger finger release may also be done under straight local anesthesia, but this procedure is done at a hospital or ambulatory surgery center. It involves making a small incision at the base of your finger over the involved pulley. The pulley is cut so that your tendon will glide smoothly without getting caught. A soft dressing is placed after surgery that may be removed after two to three days. Stitches will be removed in the office two weeks after surgery. Hand and finger range of motion is encouraged immediately after surgery, and full recovery usually takes a few weeks.

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“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

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“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

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“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

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“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

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We enjoyed having Jamie as part of our team, as she always had pleasant energy in the office and the OR, asked great questions, and helped out wherever she could… including a huge assist on social media! 😎

Best of luck in your senior year of college, and we wish you great success in the future!!

Oh, and for her last day in the OR, we did some interesting stuff! ✂️
👍 Trigger thumb release
🫴 Middle finger contracture release
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Fellow surgeons, is there a way for you to work with your operating room to create a more “slimmed down” pack for your smaller cases that would be more proportional and environmentally friendly??

Anyone who works in an OR knows how just about every single case performed in this country generates an entire garbage bag worth of trash (paper AND plastic)!!

There has been a number of efforts in recent years to identify this problem in the literature, but programs that effectively change behavior in large hospital systems are elusive. The fact remains that the US healthcare system generates 4 million tons of solid waste annually (2010 estimate), and between 20% and 33% of hospital waste is attributed to the OR.

Limiting this waste should also align financially with the bottom lines of operating room expenses, and hospitals in general.

Should there be federal tax incentives to promote these initiatives, just as they have done for the EV and solar industries??

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