Endoscopic Trigger Finger Release

Consecutive patients presenting with trigger finger interested in surgical release of the A1
pulley will be randomized to treatment with endoscopic versus open surgical release of the A1
pulley. Study measures will include scar assessment based on the Patient and Observer Scar
Assessment Scale (POSAS) administered at 1 week, 1 month, and 6 months post-operatively,
overall satisfaction (scale of 1 to 10), days before return to work, duration of
post-operative occupational therapy, pain medication use, operative time, and complication
and recurrence rates.

Inclusion Criteria:

- At least 18 years old

- Trigger finger diagnosis affecting a single digit, recommended for surgical release

- Be in good health other than the trigger finger

- Have realistic expectations of surgical results

- Be willing to undergo treatment based on the treatment arm to which they are
randomized

- Understand and be willing to follow all aspects of the study protocol and have signed
and dated the Informed Consent Form and the Authorization for Use and Release of
Health and Research Study Information (HIPAA) form prior to any study-related
procedures being performed

Exclusion Criteria:

- Trigger finger of thumb or multiple digits

- Collagen-vascular, connective tissue, or bleeding disorder

- Pregnancy

- Regional sympathetic dystrophy

- Abscess or infection at time of planned surgery

- Have a condition or be in a situation that, in the Investigator's opinion, may put the
subject at significant risk, may confound the study results, or may interfere
significantly with the subject's participation in the study