We describe a safe and easy percutaneous technique for release of trigger f
inger using a specially designed knife. The Al pulley is sectioned by a bla
de which has a hooked end. We released, percutaneously, 185 trigger fingers
, including 62 which were locked using this technique. Satisfactory results
were achieved in 173 (93.5%). There were no significant complications. We
recommend this as a safe and effective outpatient procedure for those patie
nts who have not responded successfully to conservative treatment, have lon
gstanding symptoms or severe triggering.