Trigger thumb release and tenosynovectomy

Jimmy H. Chim, Donald Groves, Emily Ann Borsting, Harvey Chim

Research output: Chapter in Book/Report/Conference proceedingChapter


Stenosing tenosynovitis (aka “trigger finger”) is a common condition in adults, with “trigger thumb” commonly occurring in children. These conditions are due to impairment of the normal sliding of the digit’s flexor tendon thru the A-1 pulley (resulting from flexor tendon inflammation). This condition can be managed nonsurgically, usually with splinting, or corticosteroid injection. If indicated, trigger digit can be managed via surgically releasing the A-1 pulley. In long-standing and severe tenosynovitis, an additional step of tenosynovectomy may be indicated. This chapter aims to provide a brief overview of the indications, possible complications, and essential steps involved in the open surgical release of trigger thumb. It also provides an example of the operative dictation and relevant coding information.

Original languageEnglish (US)
Title of host publicationOperative Dictations in Plastic and Reconstructive Surgery
PublisherSpringer International Publishing
Number of pages2
ISBN (Electronic)9783319406312
ISBN (Print)9783319406299
StatePublished - Jan 1 2016


  • A-1 pulley
  • Flexor
  • Stenosing
  • Surgical release
  • Tendon sheath
  • Tenosynovectomy
  • Tenosynovitis
  • Trigger finger
  • Trigger thumb

ASJC Scopus subject areas

  • Medicine(all)


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