Evidence map›Paper›PMID 40419933›Full record

ArticleMedicine2025

Ultrasound-guided microinvasive trigger thumb release with an 18-gauge blade-tipped needle: A case series.

Tomas F Vega, Ricardo E Colberg, Victor J Kremser, Sharan Sankar, Campbell B Aiken, Trace Naman, Alexandra Yates, Matthew P Ithurburn

Abstract read
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Tomas F VegaAndrews Sports Medicine and Orthopaedic Center, Birmingham, AL.ORCID 0009-0007-1083-6329
Ricardo E ColbergAndrews Sports Medicine and Orthopaedic Center, Birmingham, AL.ORCID 0000-0001-6037-0829
Victor J KremserAmerican Sports Medicine Institute, Birmingham, AL.
Sharan SankarAmerican Sports Medicine Institute, Birmingham, AL.
Campbell B AikenAmerican Sports Medicine Institute, Birmingham, AL.
Trace NamanAmerican Sports Medicine Institute, Birmingham, AL.
Alexandra YatesAmerican Sports Medicine Institute, Birmingham, AL.
Matthew P IthurburnAmerican Sports Medicine Institute, Birmingham, AL.ORCID 0000-0001-8533-3661

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ultrasound (US)-guided trigger finger release provides comparable outcomes to open surgical release, yet there is a lingering concern for neurovascular injury specifically in the thumb due to its unique anatomy. This study evaluated the outcomes of patients undergoing US-guided trigger thumb release. A retrospective case series of patients undergoing US-guided trigger thumb release using an 18-gauge blade-tipped needle evaluated outcomes, including resolution of mechanical symptoms, improvement in pain and function, ability to return to daily activities, major or minor complications, and need for revision procedures. Twenty-eight patients (29 cases) with an average age of 59.2 (31-91 years, SD 11.8) met criteria and agreed to participate in the study. Average follow-up time was 3.4 years (1.0-5.9 years, SD 1.2) post-procedure. 100% of the patients reported complete resolution of mechanical symptoms. Average numeric pain rating scale and Nirschl scores were 0.2 (SD 0.5) and 0.1 (SD 0.3), respectively. 100% of patients were able to return to work and 96% were able to return to recreational activities. No major or minor complications (including neurovascular injuries) were reported. No patients required a revision procedure. US-guided trigger thumb release using a blade-tipped needle appears to be a safe and effective procedure when performed by an experienced provider. Further research will be needed to establish its generalizability and characterize comparative outcomes and risk-benefit profiles of this technique compared to open surgical trigger thumb releases.

Indexed as

NeedlesTrigger Finger DisorderUltrasonography, InterventionalAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesThumbTreatment Outcomepercutaneoustrigger finger releasetrigger thumbultrasound

Identifiers

PMID40419933
PMCPMC12114059

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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.