Evidence‑Based Surgical Management of Trigger Finger

Combined Surgical Procedures

• Adding trapeziectomy with ligament reconstruction and tendon interposition does not improve outcomes compared with simple trapeziectomy and doubles the risk of complications (relative risk ≈ 2.1)【1】.

Post‑operative Complications and Rehabilitation

• Reported adverse events after trigger‑finger surgery include infection, flexor‑tendon injury, nerve dysfunction, and complex regional pain syndrome【5】.
• Structured post‑operative rehabilitation is recommended to minimize these complications and promote functional recovery【5】.

Intra‑articular Glucocorticoid Injections

• Intra‑articular glucocorticoid injections provide no clinical benefit over placebo for trigger finger and should be avoided【5】.

Standard Surgical Approach

• A simple open A1‑pulley release is sufficient for most patients; more complex procedures offer no additional advantage and carry higher risk【1】.