Percutaneous release of the trigger finger: an office procedure

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Eastwood-D-M. Gupta-K-J. Johnson-D-P. Department of Orthopaedic Surgery, University of Bristol, England. J-Hand-Surg-[Am]. 1992 Jan. 17(1). P 114-7. A new technique for percutaneous release of the trigger finger is described. A 21-gauge hypodermic needle is used to release the A1 pulley. The technique is effective, convenient, safe, and well tolerated by patients. Thirty-three of 35 procedures (94%) led to complete relief of symptoms, and in the remaining two digits partial symptomatic relief was achieved. There were no significant complications. After a mean follow-up of 13 months, there had been no recurrences. This technique should be the treatment of choice for the established trigger finger with symptoms of more than 4 months' duration. Author-abstract.