Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2024 Sep;48(9):2429-2437.
doi: 10.1007/s00264-024-06243-z. Epub 2024 Jul 2.

Ultrasound-guided vs. non-guided trigger finger release: a systematic review and meta-analysis

Hélio Rubens Polido Garcia  1 , Eduardo Mund  2 , Pedro Romeiro  3
Affiliations
Meta-Analysis

Ultrasound-guided vs. non-guided trigger finger release: a systematic review and meta-analysis

Hélio Rubens Polido Garcia et al. Int Orthop. 2024 Sep.

Abstract

Purpose: Trigger finger (TF) is a common hand condition that can be treated with surgery. We conducted a systematic review and meta-analysis to assess whether ultrasound-guided (US-guided) percutaneous surgery is superior to other conventional surgical methods.

Methods: We conducted a comprehensive search in Medline, Embase, and the Cochrane Library to identify relevant studies. We included randomized clinical trials (RCTs) and observational studies comparing US-guided TF release with blind percutaneous or open approaches. We combined Risk Ratios (RR) and Mean Differences (MD) with 95% Confidence Intervals (CI) across studies. Data processing and analysis were conducted using R software, version 4.3.1.

Results: Our analysis included eight RCTs and two observational studies with 555 patients. US-guided surgery significantly reduced postoperative DASH scores (MD -3.75 points; 95% CI = -7.48, -0.02; p < 0.01), shortened time to resume activities (MD -11.52 days; 95% CI = -16.13, -6.91; p < 0.01), hastened discontinuation of oral analgesics (MD -4.44 days; 95% CI = -8.01, -0.87; p < 0.01), and improved patient satisfaction scores (RR 1.13; 95% CI = 1.04, 1.23; p = 0.75). There were no significant differences in VAS scores, time to movement recovery, or surgical success rate.

Conclusion: Ultrasound-guided percutaneous release is a safe, effective, and superior alternative for treating TF compared to other methods, leading to improved DASH scores, quicker recovery, faster cessation of oral analgesics, and enhanced patient satisfaction.

Keywords: Meta-analysis; Stenosing tenosynovitis; Systematic review; Trigger finger; Ultrasound-guided percutaneous release.

PubMed Disclaimer

References

    1. Fleisch SB, Spindler KP, Lee DH (2007) Corticosteroid injections in the treatment of trigger finger: A level I and II systematic review. Journal of the American Academy of Orthopaedic Surgeons, 15, 166–171. https://doi.org/10.5435/00124635-200703000-00006 , PubMed: 17341673
    1. N JHS, A.H.A.F. L, R GVG, da Silveira DCEC, B PN, Almeida SF (2021) Epidemiology of Trigger Finger: Metabolic Syndrome as a new perspective of associated disease. Hand, 16, 542–545. https://doi.org/10.1177/1558944719867135 , PubMed: 31456430
    1. Wojahn RD, Foeger NC, Gelberman RH, Calfee RP (2014) Long-term outcomes following a single corticosteroid injection for trigger finger. Journal of Bone and Joint Surgery. American Volume, 96, 1849–1854. https://doi.org/10.2106/JBJS.N.00004 , PubMed: 25410501
    1. Aksoy A, Sir E (2019) Complications of percutaneous release of the trigger finger. Cureus, 11, e4132. https://doi.org/10.7759/cureus.4132 , PubMed: 31058015
    1. Zyluk A, Jagielski G (2011) Percutaneous A 1 pulley release vs steroid injection for trigger digit: The results of a prospective, randomized trial. Journal of Hand Surgery, European Volume, 36, 53–56. https://doi.org/10.1177/1753193410381824 , PubMed: 20709708

MeSH terms

LinkOut - more resources