Objective: In this study, we aimed to evaluate the results of percutaneous release of Trigger Finger using 18G needle in 30 patients.

Methods: From November 2017 to November 2018, 30 patients with Trigger Finger were treated with percutaneous A1 pulley release using 18G needle at Govt Medical College, Trichur. Surgeons included Final Year Post Graduates Students to Professor/Unit Chiefs. Mean follow up period was 15 weeks. Results were classified as satisfactory when there was complete relief from complaints and unsatisfactory when there was persistence of complaint or if open surgery were required.

Results: 25(83.3%) patients had complete relief from triggering and there complaints.3(10%) patients had to undergo open release after repeated attempt of needling. 2 (6.7%)patients who complained of persistent pain at the needling site, despite relief of the triggering were relieved of pain after single shots of local steroid injection.

Conclusion: Needle release of trigger finger is effective, safe and well tolerated by patients. It should be done by senior Orthopedic or Hand Surgeon to avoid any complication.

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Dr Manoj.M.K

Associate Professor, Department of Orthopedics, Government Medical College Trichur