change in practice pattern

Does a difference in patient satisfaction and cosmetic outcome exist between wound closure with absorbable or non-absorbable sutures.

The study will involve randomizing patients to wound closure with absorbable or non-absorbable sutures. We will if scar formation (symptoms and aesthetics) if different between the two types of closures as determined by the patient and observer scar assessment scale version 2.0 (POSAS) and the patient-rated wrist/hand evaluation (PRWHE), between absorbable and non-absorbable suture for wound closure of open carpal tunnel release and trigger finger pulley release.

Inclusion Criteria:

• Any patient greater than or equal to 18 years of age.
• Any patient undergoing primary open carpal tunnel release or primary trigger finger pulley release

Exclusion Criteria:

• Any patient identified outside of the proposed study time period.
• Any patient receiving revision surgery
• Patients who have had prior ipsilateral palmar or finger surgery
• Patients with Dupuytren's disease

Blinded assessment for wound healing