Surgical treatment of adult trigger finger under local anaesthetic: the method of choice?

A prospective trial releasing 25 adult trigger fingers under a local anesthetic (5 ml 1% lignocaine with 1500 units hyalase) and a tourniquet was undertaken. All patients had excellent results and there was no complication. The adequacy of the release could be checked on the table by asking the patient to make a first actively, and any further measures necessary were carried out at the same time. It is recommended that the release of trigger fingers be carried out by this technique to minimize failures, as coexisting pathology causing two-level triggering can be identified and treated at the same time. The potential of complications is far less than with a general anaesthetic or a regional anaesthetic.