Evidence map›Paper›PMID 40301991›Full record

SynthesisJournal of orthopaedic surgery and research2025

Percutaneous A1 pulley with corticosteroid injection for trigger finger release: a systematic review.

Jimmy Wen, Burhaan Syed, Ramy Khalil, Mouhamad Shehabat, Meraj Alam, Romteen Sedighi, Daniel Razick, Muzammil Akhtar, Adam Razick, Foad Elahi

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jimmy WenCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA. jdoub2009@berkeley.edu.
Burhaan SyedCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Ramy KhalilCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Mouhamad ShehabatCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Meraj AlamCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Romteen SedighiCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Daniel RazickCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Muzammil AkhtarCalifornia Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Adam RazickUniversity of California, 405 Hilgard Ave, Los Angeles, CA, 90095, USA. adamarazick@g.ucla.edu.
Foad ElahiCalifornia Center of Pain Medicine & Rehabilitation, 4944 Sunrise Blvd, Fair Oaks, CA, 95628, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCorticosteroid injection (CI) is one of the first-line treatments for trigger finger (TF) before escalation to surgical procedures such as percutaneous A1 pulley (PAP) release. This systematic review compares outcomes of concurrent PAP and CI for trigger finger release (TFR).

methodsA systematic search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted in PubMed, Embase, and Cochrane Library. Study variables included the number of patients, mean age, mean follow-up, affected finger, Quinnell grading, return to activity, pre-and post-operative patient-reported outcomes (PROs), and complications.

resultsSeven studies were included, with 685 patients with a mean age of 52.0 years (range of 38.0 to 58.9) and a mean follow-up time of 22 weeks (range 1 week to 52 weeks). Throughout these studies, PAP and CI were performed on 243 thumbs, 115 index fingers, 189 middle fingers, 138 ring fingers, and 10 small fingers. PAP and CI reported satisfaction and pain resolution for 96.2% (five studies) of patients. Additionally, all patients returned to activity, sports, or work (three studies).

conclusionConcurrent PAP and CI positively affect clinical outcomes, PROs, and is a well-tolerated procedure with a low rate of complications.

Indexed as

Adrenal Cortex HormonesOrthopedic ProceduresTrigger Finger DisorderAdultHumansMiddle AgedTreatment OutcomeAdrenal Cortex HormonesA1 pulleyCorticosteroidMinimally invasivePainTendon entrapmentTenosynovitis

Identifiers

PMID40301991
PMCPMC12042385

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.