Evidence map›Paper›PMID 40616440›Full record

ArticleHand (New York, N.Y.)2026

Evaluating Outcomes of Flexor Tendon Excision During Trigger Finger Release.

Joydeep Baidya, Olivia A Opara, Nicholas B Pohl, Harrison Patrizio, Sebastian Fras, Abbey Glover, Pedro K Beredjiklian, Daniel J Fletcher

Abstract read
In one paragraph

Article in Hand (New York, N.Y.), 2026. 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. 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

8 authors.

Joydeep BaidyaRothman Orthopaedic Institute, Philadelphia, PA, USA.ORCID 0000-0003-1396-1786
Olivia A OparaRothman Orthopaedic Institute, Philadelphia, PA, USA.
Nicholas B PohlRothman Orthopaedic Institute, Philadelphia, PA, USA.ORCID 0000-0002-9438-904X
Harrison PatrizioRothman Orthopaedic Institute, Philadelphia, PA, USA.
Sebastian FrasRothman Orthopaedic Institute, Philadelphia, PA, USA.
Abbey GloverRothman Orthopaedic Institute, Philadelphia, PA, USA.
Pedro K BeredjiklianRothman Orthopaedic Institute, Philadelphia, PA, USA.
Daniel J FletcherRothman Orthopaedic Institute, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with trigger finger who are refractory to nonsurgical treatments require trigger finger release (TFR) using A1 pulley release, while those with persistent triggering or severe proximal interphalangeal joint contracture may necessitate additional flexor tendon excision (FTE). This study characterizes the frequency of FTE performed at the time of primary TFR and compares outcomes between isolated TFR and TFR with additional FTE for trigger finger management.

methodsA total of 8551 patients who underwent TFR were retrospectively reviewed, among whom 218 (2.5%) required additional FTE. A 2:1 matched isolated TFR group was used for comparison. Patient demographics, complications, and outcomes were compared.

resultsA total of 121 patients undergoing TFR with FTE were matched to 243 patients undergoing isolated TFR. The TFR with complete FTE group was youngest and predominantly male. The long finger was most commonly affected across all groups. Wide Awake Local Anesthesia No Tourniquet was the most frequently used type of anesthesia in isolated TFR procedures. While local anesthesia with sedation was more commonly used for TFR with FTE. The proportion of patients who received at least one preoperative steroid injection was highest in the isolated TFR group. All other demographic variables, complications, and patient-reported outcomes were comparable between groups.

conclusionsThis study found high rates of postoperative improvement in TFR with FTE groups, as well as similar oral and steroid injections, complication rates, and Disabilities of the Arm, Shoulder, and Hand scores compared to the isolated TFR group. Therefore, TFR with FTE can be a safe and effective surgery with similar outcomes to isolated TFR and no additional risks in appropriately indicated patients.

Indexed as

Orthopedic ProceduresTendonsTrigger Finger DisorderAdultAgedAnesthesia, LocalFemaleFinger JointHumansMaleMiddle AgedPatient Reported Outcome MeasuresPostoperative ComplicationsRetrospective StudiesTreatment OutcomeA1 pulley releasecomplete excisionflexor tendon excisionpartial excisiontrigger finger

Identifiers

PMID40616440
PMCPMC12228633

What OpenQuestion holds

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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.