A Needle Technique for Percutaneous Release of Trigger Finger in Somdejphralertlar Hospital

Abstract

    Trigger finger was an common condition  that cause  of  pain  and  disability. Trigger  finger could be successfully  treated  nonsurgically  with  the use of  splinting and  cortisone  injection,  open trigger  finger  release  and  percutaneous  trigger  finger  release.

    In the period of 5 years at Somdejpraputhalerdlar Hospital (October 2002 – September 2007) we  performed operation trigger finger  with  percutaneous  release by an 18 gauge  hypodermic  needle. The A1 pulley was  sectioned by  this  needle. Percutaneous  release of 65  trigger fingers (30 thumbs, 5 index, 19  middle and 11 ring fingers) from 62 patients, (8 males/54  females)  was successfully  corrected  with  average operative time less than 5 minutes  per finger.  No serious complication were  found.  This  technique was recommended since it was  not only simple, safe and  effective  but  also economically.