Postoperative complications of trigger finger, a type of tendon entrapment, are low, and there is little information regarding evaluation after a complication occurs. Recurrent trigger finger is a rare occurrence, but often requires additional procedures to relieve symptoms. Here we present a case of recurrent trigger finger in the immediate postoperative period after the patient developed a cyst distal to the A1 pulley and synovitis. The first procedure demonstrated a thickened and tight A1 pulley as well as synovitis around the tendon. The patient developed continued clicking and trigger symptoms distal to the A1 pulley at the level of the proximal interphalangeal (PIP) joint postoperatively. Findings of magnetic resonance imaging (MRI) revealed further synovitis distal to the A1 pulley and a cyst. After a second procedure, the patient’s trigger symptoms resolved. Imaging, such as MRI, can be useful in the diagnosis of recurrent trigger finger and help identify the location of the recurrence.
Vakharia, Kavita T. and Moheb S. Moneim. "Recurrent Trigger Finger in the Early Postoperative Period: A Case Report." UNM Orthopaedic Research Journal 7, 1 (2018). https://digitalrepository.unm.edu/unm_jor/vol7/iss1/36