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Trigger finger is one of the most common cause of pain and disability of the hand. This condition results in painful catching or popping of the involved flexor tendon as the patient flexes and extends the digit. This study aimed to test the efficiency of percutaneous release in the treatment of Trigger Finger in 100 patients. Percutaneous Release of A1 pulley of the affected digit was performed using 18G needle under Local Anaesthesia in the Out Patient Department. Results were graded using Quinnel's criteria as excellent if there was no pain after the procedure, good if pain occurred with heavy use or poor if there was no reduction in pain. Excellent result was achieved in 83 patients while good results achieved in 13 patients who were satisfied and were able to return to their work the next day of the procedure. In 4 patients the procedure failed to relieve the symptoms and there was some degree of residual triggering and pain left. At 1 week follow up only 9 patients had some degree of pain and stiffness which had completely resolved on taking medication and there were no complaints at 3 months follow up. Percutaneous release is a safe, effective and cheap procedure, providing immediate relief from symptoms in the treatment of trigger finger which is well tolerated and has a low rate of complications when done by an experienced Orthopaedic surgeon.

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Background Fractures of Diaphysis of tibia are among the most common diaphyseal fractures, with a bimodal age distribution. These are also notorious for going into delyed or non union, the preferred mode of fixation for these is the Intramedulllary nailing. We have compared the two approaches of the same, the supraptellar as well as infrapatellar approach. Methods Patients were divided into 2 groups, randomly, one group undergoing tibial diaphyseal intramedullary nailing via the conventional infrapatellar approach and the other undergoing via the suprapatellar approach. Post operative knee function was assessed using TegnerLysholm Scale. Results Mean TegnerLysholm knee score was 84.80 ±9.829 and 87.07±11.10 in infrapatellar and suprapatellar group respectively. When mean Tegner Lysholm knee score was compared in suprapatellar group and infrapatellar group using t test, it was found to be statistically insignificant. Conclusions we conclude that there was no difference in tibial fracture healing, alignment, knee pain and functional disability. Key Words : Suprapatellar, Infrapatellar, Tegner Lysholm, Intramedullary, Nailing.