What is the likelihood of recurrence of trigger finger (stenosing tenosynovitis) after a trigger finger release surgery?

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Last updated: May 19, 2025View editorial policy

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From the Research

The likelihood of a trigger finger recurrence after a trigger finger release surgery is approximately 2.39%, as reported in the most recent and highest quality study 1. This low recurrence rate is attributed to the effectiveness of the surgical procedure in removing the constriction in the tendon sheath that causes the triggering phenomenon.

Factors Influencing Recurrence

Several factors can increase the risk of recurrence, including:

  • More than 3 steroid injections before surgery, which increases the risk of recurrent trigger finger (HR = 4.87,95%CI = 1.06-22.35) 1
  • Manual labor, which also increases the risk of recurrent trigger finger (HR = 3.43,95%CI = 1.15-10.23) 1

Management and Prevention

To minimize recurrence risk, patients should:

  • Follow post-operative care instructions carefully
  • Complete any prescribed hand therapy exercises
  • Manage underlying conditions like diabetes effectively If symptoms return, treatment options include steroid injections, physical therapy, or revision surgery.

Comparison with Other Studies

While other studies have reported varying recurrence rates, the most recent and highest quality study 1 provides the most reliable estimate of the recurrence rate after trigger finger release surgery. For example, a study from 2021 reported a recurrence rate of 61% after corticosteroid injection treatment for trigger finger 2, but this study had a different population and treatment approach. Another study from 2008 reported a recurrence rate of 56% after corticosteroid injection treatment for trigger finger 3, but this study was older and had a smaller sample size. Overall, the most recent and highest quality study 1 provides the best estimate of the recurrence rate after trigger finger release surgery.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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