Observational studyPM & R : the journal of injury, function, and rehabilitation2025
Percutaneous ultrasound-guided A1 pulley release utilizing a modified 20-gauge spinal needle.
Observational study in PM & R : the journal of injury, function, and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Percutaneous ultrasound-guided A1 pulley release utilizing a modified 20-gauge spinal needle.PM & R : the journal of injury, function, and rehabilitation · 2025Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrigger finger is a common cause of hand pain. Though multiple techniques for percutaneous A1 pulley release have been described in the literature, there is a continued need for safe and effective techniques using inexpensive, familiar, and commonly found instruments. This study evaluated outcomes of percutaneous A1 pulley release performed using a novel technique with a modified 20-gauge spinal needle and ultrasound guidance, with follow-up outcomes at least 6 months after the procedure.
objectiveTo evaluate the efficacy and safety of a novel percutaneous A1-pulley release technique in individuals with trigger finger.
designRetrospective observational study.
settingPrivate practice outpatient orthopedics clinic.
participantsForty digits from 30 unique patients with trigger finger who underwent percutaneous A1 pulley release.
interventionsPercutaneous ultrasound-guided A1 pulley release performed with a modified 20-gauge spinal needle.
main outcome measuresThe primary outcome measure was cessation of triggering. Secondary measures examined intraoperative and postoperative pain, postprocedural duration of activity limiting pain, and time to perform the procedure.
resultsImmediate cessation of triggering was achieved in all 40 digits following the procedure, with no recurrence reported at any time at an average follow-up of 11 months (range 6-32). Patients reported returning to normal activity in 2.75 days. Only one minor complication was reported, tenosynovitis, which resolved with a corticosteroid injection.
conclusionsPercutaneous, ultrasound-guided A1 pulley release performed with a modified 20-gauge spinal needle can be safely performed with good outcomes and a rapid return to normal activity.
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